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Rabbit Advocates Pre-Adoption Questionnaire
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| Name |
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First Name |
Last Name |
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| Address |
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Street |
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City |
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Zip |
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Phone |
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E-mail |
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| Name
of rabbit(s) you are interested in adopting: |
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| How
long have you been thinking about adopting a rabbit? |
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| Why
do you want to adopt a rabbit? |
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| How
many of each in your household? |
Adults: |
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Children: |
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Children Ages? |
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For whom is this rabbit being adopted? |
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Who will be the primary
caretaker of the rabbit(s)? |
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| What
research or reading have you done and what experience have you had with
companion rabbits? |
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| Are
you interested in educational materials regarding houserabbits? |
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| 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 |
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| Veterinarian
Name and Vet Clinic: |
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| What
do you expect to spend for veterinary services each year for your rabbit(s)? |
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| How
do you plan to house your rabbit(s)? |
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| Would
you like assistance in planning your rabbit's housing? |
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| Do
you currently own or rent? |
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| If
renting, what pets does your landlord allow? |
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Landlord contact information: |
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| If
you move, what will you do with your rabbit(s)? |
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| Name
some reasons that may cause you to give up your rabbit: |
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| What
pet behaviors are unacceptable in your home? |
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| Is
there anyone in your family who is allergic to rabbits or hay? |
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| Will
your rabbit be allowed outdoors? |
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| If
yes, under what circumstances? |
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| Thank you for taking
the time to fill out this questionnaire.
The current caretaker |
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which you are interested will be in contact with you shortly. |
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| Rabbit Advocates |
| P.O. Box 70146 |
| Vancouver, WA 98665-0037 |
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