Small Animal Personality and History Profile

Small Animal Assistance Request and Profile

Thank you for taking the time to complete this questionnaire. The more details you provide, the better we can match your pet with the right adopter and ensure a smooth transition to their new home.
Name

First NameLast Name
Title
Preferred Pronoun(s)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Preferred method of contact:
What is the best time to contact you for additional information?
Note: A member of our team will contact you regularly during this program
Pet Information
Species (rat, hamster, rabbit, guinea pig, etc)
Pet's name
Pet's nickname(s)
Age (estimate)
if not known, please estimate
Date of Birth (if known)
Gender:
Breed (if known)
Color/Markings
Spayed or Neutered?
Is your pet microchipped?
If microchipped, is it registered?
Veterinarian Name, Address and Phone number
Is your pet up to date on vaccines?
How long have you had this pet?
Why are you looking for a new home for this pet?
Where did you get the pet from, originally?
Personality Overview
How would you describe your pet in 3 words?
Is your pet generally:

Other
How does your pet respond to visitors?

Other
How does your pet react to changes in the environment or routine?
Medical Information
When was the last time your pet was seen by a veterinarian?
Can you provide updated or recent vet records for your pet?
Does your pet have any known medical conditions?
Is your pet on any medication? If yes, list medicine, dosage and reason
Any sensitivities to new food, stress or noise?
Any mobility or special handling considerations?
Daily Routine, Affection and Handling
Please list what food your pet eats and describe the feeding schedule:
What makes your pet the happiest?
What does your pet dislike?
Are there areas that your pet does not like to be touched?
How does your pet show affection?
Does your pet tolerate nail or beak trims?

Other
Does your pet enjoy:

Other
What is your pet's energy level?
Favorite toys, enrichments or activities:
Behavior and Household Habits
Is your pet litter boxed trained?
Describe current enclosure (size, type, set up).
What type of bedding is used?
Does your pet chew, dig, climb, or escape enclosures?
Does your pet enjoy time out of their habitat? Where are they kept during free time?
Any history of aggressive behavior such as biting or scratching? If so, please describe circumstances.
Has your pet ever lived with:

Other
How does your pet behave with other pets in the household?
How does your pet behave with children of any age?
Does your pet prefer:

Other
Ideal home
What type of home do you think would be best for your pet?
What would you want a new family to know about your pet?
Is there anything that makes your pet unique?
What is a funny story about your pet?
Please sign and date: I, the undersigned, attest that the information that I have provided is factual. I also understand the criteria required to participate in this program and agree to: 1) provide reliable transportation to veterinarian and adoption appointments, 2) keep my pet(s)until a new home is found, and 3) take financial responsibility for the necessary veterinary care.
Photos and Vet records

If you have photos and/or vet records available, feel free to upload below. Thank you in advance.
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Small Animal Assistance Request and Profile

Pet Information

Personality Overview

Medical Information

Daily Routine, Affection and Handling

Behavior and Household Habits

Ideal home

Photos and Vet records