Name:
Age:    year(s)
Sex:          
Species   Dog   Cat   Other   
Where is/was the pet housed?  Inside   Outside   Both   
Where is the pet now?:      
Is/Was pet spayed/neutered?   Yes   No   

Name:
Age:    year(s)
Sex:          
Species   Dog   Cat   Other   
Where is/was the pet housed?  Inside   Outside   Both   
Where is the pet now?:      
Is/Was pet spayed/neutered?   Yes   No   

Name:
Age:    year(s)
Sex:          
Species   Dog   Cat   Other   
Where is/was the pet housed?  Inside   Outside   Both   
Where is the pet now?:      
Is/Was pet spayed/neutered?   Yes   No   

Name:
Age:    year(s)
Sex:          
Species   Dog   Cat   Other   
Where is/was the pet housed?  Inside   Outside   Both   
Where is the pet now?:      
Is/Was pet spayed/neutered?   Yes   No   

Name:
Age:    year(s)
Sex:          
Species   Dog   Cat   Other   
Where is/was the pet housed?  Inside   Outside   Both   
Where is the pet now?:      
Is/Was pet spayed/neutered?   Yes   No   

Name:
Age:    year(s)
Sex:          
Species   Dog   Cat   Other   
Where is/was the pet housed?  Inside   Outside   Both   
Where is the pet now?:      
Is/Was pet spayed/neutered?   Yes   No