Small Pet Care Questionnaire

Animal Hospital of Warwick

2370 York Road, Commonwydds A-1
Jamison, PA 18929

(215)343-5300

www.animalhospitalofwarwick.com

Small Pet Care Questionnaire


  

Small Pet Care Questionnaire Form

Does your pet ever go outside? (required)

No
Yes, supervised playtime
Yes, unsupervised playtime (includes time in cage/fenced area, if no human present)
Yes, lives outside in good weather
Yes, lives outside all year


Does your pet live primarily in a cage, hutch, or other enclosure? (required)

Yes
No


If Yes, what are the dimensions of the cage?

If No, what rooms are dedicated to play vs. free range?

Does your pet share a cage with any other pets? (required)

Yes
No


Does your pet interact or live with other pets outside of a cage (including supervised playtime)? (required)

Yes
No


What bedding do you use in your pet’s cage? (required)

CareFresh, Kaytee SoftSorbent, CelSorb, Yesterday’s News, or other paper/pulp bedding
Aspen shavings or pellets
Pine or Cedar shavings or pellets


Are there any houseplants in your pet’s environment? (required)

Yes
No


If Yes, what kind:

How often is the cage/bedding/litter changed? (required)

Are the room(s) where your pet lives / where cage is located air conditioned? (required)

Yes
No


Are the room(s) where your pet lives / where cage is located heated? (required)

Yes
No


Does your pet use a litterbox? (required)

Yes
No


If Yes, what litter do you use?

What sort of pelleted food does your pet eat? (Please include brand + type, if known): (required)

Pellet mix contains (Please check all that apply): (required)
Plain pellets
Oats or other grains
Seeds or nuts
dehydrated vegetable pieces
Colored/flavored pieces, dehydrated fruit, or corn
Other
What sort of hay does your pet eat? (Please check all that apply): (required)

Timothy
Orchard Grass (or other grass)
Alfalfa
Other


How often is hay fed? (required)

How much hay is fed?

What fresh greens, vegetables, or fruits does your pet eat? (required)

How often are fresh foods fed and how much? (required)

Is FRESH water changed/given every day? (required)

Yes
No


Sipper bottle or bowl? (required)

Do you give a vitamin supplement? (required)

Yes
No


Are vitamins put in the pet’s water? (required)

Yes
No


For guinea pigs – does supplement contain Vitamin C?

Yes
No


Please tell us about anything else your pet eats:

Today's Date:. (required) :

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