Exotic Pet Questionnaire

Client Information

First and Last Name: *

Email Address: *

Phone Number: *

Pet Information

Name of Pet: *

Species: *

Sex: *

Length Owned: *

Who is the main caretaker? *

Pet's Age: *

Source of Animal (example: breeder, store, friend, etc.) *

Known Background/History: *

Describe the entire enclosure set up: *

Please upload pictures of the entire enclosure setup, or bring them to the appointment.

One file only.
50 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Do you provide natural/behavioural enrichment? *

Is your pet housed alone or with other animals? *

Describe natural/behavioral enrichment you provide. *

If housed alone or with other animals, please describe what and how many. *

Describe any hides you provide. *

Describe the type of substrate provided. *

Do you use a mister? *

Do you monitor temperature range? *

Is UV light provided? *

Water Source

What type of water source is provided?

Is it treated? *

How often is it tested? *

How often do you clean/upkeep filter? *

How often/long/frequently do you soak? *

Diet provided (Iist everything)

What is the source of your pet's diet? *

What supplements do you give them? *

Do you gut load the insects? *

How are meals offered? *

Live or frozen prey? *

How often do you weigh them? *

What do you gut load the insects with? *

Activity / Exercise Provided: *

Reproductive Status (Spayed/Neutered/Pregnant/Clutches laid) *

Exotic Pet Questionnaire

Client Information

Pet Information

Water Source

Diet provided (Iist everything)

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