Email *
Pet's Name *
Species
Weight
Date of birth / age (please approximate if not known)
Where did you get your small pet?
Length of ownership
Has your pet been eating and drinking normally? If not, explain.
Recent diet change? If yes, when and what?
Type of cage and dimensions, or gallons
Floor type and substrate/bedding
Describe all of the items in the cage
Location of cage
Does your pet spend time outside of its cage? If yes, is it supervised? How long?
Are there other pets in the cage? If so, describe
Color Consistency and Frequency of Feces
Please list any past and current medications
Pet's Name *
Species
Weight
Date of birth / age (please approximate if not known)
Where did you get your small pet?
Length of ownership
Has your pet been eating and drinking normally? If not, explain.
Recent diet change? If yes, when and what?
Type of cage and dimensions, or gallons
Floor type and substrate/bedding
Describe all of the items in the cage
Location of cage
Does your pet spend time outside of its cage? If yes, is it supervised? How long?
Are there other pets in the cage? If so, describe
Color Consistency and Frequency of Feces
Please list any past and current medications
Pet's Name *
Species
Weight
Date of birth / age (please approximate if not known)
Where did you get your small pet?
Length of ownership
Has your pet been eating and drinking normally? If not, explain.
Recent diet change? If yes, when and what?
Type of cage and dimensions, or gallons
Floor type and substrate/bedding
Describe all of the items in the cage
Location of cage
Does your pet spend time outside of its cage? If yes, is it supervised? How long?
Are there other pets in the cage? If so, describe
Color Consistency and Frequency of Feces
Please list any past and current medications
