Small Mammal Intake Questions

Small Mammal Questionnaire

Please answer all the questions below
If you’ve completed the questionnaire for this pet within the last 24 hours, kindly inform a staff member. If it has been more than 24 hours, we are requiring that you fill out the form again. This helps us ensure we provide the best care possible for your pet. Thank you for your understanding and cooperation!
Owner Name*

First NameLast Name
Pet Name*
Reason For Bringing In Your Pet Today*
Pets Age*
Pets Sex*
Is Your Pet Vomiting?*
Is Your Pet Coughing*
Is Your Pet Sneezing*
Does Your Pet Have Runny Stool?*
What Is Your Pet Eating and How Often?*
Is Your Pet On Any Of The Following:
Medications*
Supplements*
Vitamins*
Calcium*
About Your Pets Bedding/Enclosure
What Is Your Pets Enclosure Type?*
What Size Is The Enclosure*
What Bedding/Substrate Do You Use For Your Pet?*
Is Your Pet Housed Alone*
Has Your Pet Ever Been Diagnosed With Any Illness? If So, Please Explain:*
Has There Been Any Changes In The Feces? (Watery, Bloody, Loose, Size Difference, Odor, Etc)*
Has Your Pet Ever Received Dental Care Including Teeth Trimming?*
Is Your Pet Indoor, Outdoor, or Both*
What Is Your Pets Water Intake?*
Thank You For Taking The Time To Fill This Out While You Wait For Your Pet To Be Seen. We Will Be With You Shortly! Dont Forget To Press Submit!
Should be Empty:

Small Mammal Questionnaire