Survey Form
TOE BEANS APARTMENT!
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
City you live in?
How many pet do you have?
0
1
2
3
4
5
More than 5
What kind of pet do you have?
Dog
Cat
Horse
Bird
Fish
Snake
Turtle
Rabbit
Ferret
Hamster/gerbil/guinea pig
Other
Where did you get your pet?
Breeder
Rescue organization
Pet store
Family/friend
Other
Has your own health status ever affected how you care for your pet?
Yes
No
Not Sure
In what way(s) your pet benefit your health and well-being?
Give me something to live for
Provide me companionship
Offer unconditional love
Help me relax/reduce stress
Make me feel needed
Make me exercise (e.g., walking a dog or riding a horse)
Increase my contact with others
Distract me from my health issues
None of them
Other
Where does your pet sleep?
Outside
In a crate/cage/tank
In my bed
In its own bed
Other
How many years have you had a pet?
Less than 1 year
1-5 years
5-10 years
10-15 years
More than 15 years
Where do you primarily get information about pet care?
Magazines
Books
Online
Family/friends
Veterinarian
None of them
Other
Where do you primarily purchase your pet(s) food?
Grocery store/discount store
Chain pet store
Local pet store
Veterinarian's office
Another pet-related business
Online
Home prepared
None of them
Other
Your Age Range
8-15
15-20
20-30
30-40
40-50
More than 50
Your Gender
Female
Male
Prefer not to answer
Other
What is your current level of education?
Some high school
High school graduate
Some college
Bachelor’s degree or higher
Other
Monthly income
Tell us something about your pets preferencs either packed or home cooked of foods.
Say something about what do you look forward in each service you avail for your furry baby? Basic ones at least.
Tell something about your pet's temper. How is it with other cats and humans? For how long has it stayed with either of them?
Anything else you would like to tell us?
Please verify that you are human
*
Submit
Should be Empty: