San Diego Humane Society

Pet Guardianship Questionnaire: Other Animal (Not Dog or Cat)

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Question - Required - Today's Date:




  YOUR INFORMATION

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Name:

 

 

 

     

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City/State/ZIP:

 

    

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YOUR PET'S INFORMATION

 

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Question - Required - Pet's Gender:


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Question - Required - Where did you acquire this pet?











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Question - Required - How would you describe this pet, in general?

 

 

BEHAVIOR INFORMATION

 

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Question - Required - How does this pet behave with ADULT members of the household? Select all that apply:

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Question - Required - How does this pet behave with CHILD members of the household? Select all that apply:

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Question - Required - How does this pet behave with ADULT visitors or strangers? Select all that apply:

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Question - Required - How does this pet behave with CHILD visitors or strangers? Select all that apply:

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Question - Required - During an average day, how many hours TOTAL is this pet handled?






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HOUSING AND FEEDING INFORMATION

 

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Question - Required - This pet is an:



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Question - Required - How is this pet housed?







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Question - Required - In a 24-hour day, how long was this pet left alone at any given time?




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VETERINARY INFORMATION

 

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   Please leave this field empty