Heartland Rabbit Rescue Adoption Questionnaire

Please estimate the amount of time*

Please list how many of each pet you have:*

Of your pets how many live inside?*
How many live outside?*
How many of your pets are spayed/neutered?*
YesNo
What became of them?*
YesNo
YesNo
YesNo
OwnRent
How long have you lived here?*
HouseMobile HomeCondoApartmentOther
YesPet deposit requiredNo
Name and Phone number of Landlord or HOA.
YesNo
If yes, what will become of the bunny?*
How many adults Type a label* and children Type a label* live in your home? What are the ages of the children Type a label* ?
Who will be the bunny's primary care giver?*
How will this bunny be cared for when you or the primary care giver are out of town?*
YesNo
What will you do if someone becomes allergic to this rabbit?*
Rabbits will eat plants and chew on just about everything. What precautions are you willing to take to protect this bunny and your home?*
Rabbits need daily exercise. When and where will this bunny be able to get its exercise?*
What kind of rabbit behavior do you feel that you CAN NOT tolerate?*
Under what circumstances would you NOT be able to keep this rabbit?*
YesNo
YesNo
YesNo
How did you hear about our organization?*
Any questions, comments, or additional information?
Should be Empty: