Rabbit Advocates Pre-Adoption Questionnaire
   
 
Name          
  First Name Last Name  
Address          
  Street   City   Zip
           
  Phone   E-mail  
Name of rabbit(s) you are interested in adopting:      
How long have you been thinking about adopting a rabbit?      
Why do you want to adopt a rabbit?  
           
           
           
How many of each in your household? Adults:    
  Children:    
  Children Ages?    
  For whom is this rabbit being adopted?      
  Who will be the primary caretaker of the rabbit(s)?      
 
What research or reading have you done and what experience have you had with companion rabbits?  
           
           
           
           
Are you interested in educational materials regarding houserabbits?      
 
Please list other pets you've had, past and present (list current animals first)
Type of Animal Age               Spayed/Neutered? If you no longer have the animal, please tell what happened
           
           
           
           
           
           
           
 
Veterinarian Name and Vet Clinic:      
 
What do you expect to spend for veterinary services each year for your rabbit(s)?    
 
How do you plan to house your rabbit(s)?      
           
           
Would you like assistance in planning your rabbit's housing?      
Do you currently own or rent?      
If renting, what pets does your landlord allow?      
Landlord contact information:      
If you move, what will you do with your rabbit(s)?      
Name some reasons that may cause you to give up your rabbit:      
           
           
What pet behaviors are unacceptable in your home?      
           
           
Is there anyone in your family who is allergic to rabbits or hay?      
Will your rabbit be allowed outdoors?      
If yes, under what circumstances?      
           
 
Thank you for taking the time to fill out this questionnaire.  The current caretaker
of the rabbit(s) in which you are interested will be in contact with you shortly.
 
Rabbit Advocates
P.O. Box 70146
Vancouver, WA 98665-0037