Exotics Questionnaire







Address: *

City: *

State: *

Zip Code: *



Small mammal
Bird
Reptile


Wellness
Nail trim
Injury
Other


Store
Rescue
Previous Owner
Breeder
Other




Exact   Approximation


This is my only pet
My pet shares an enclosure with other pet(s) of the same type
My pet interacts with other pets of the same type in my household but does not share an enclosure
There are other pets of this type in my household, but they are kept apart/in separate areas

Enclosure size and type:

Location within the home:

Enrichment/toys offered:

Types of bedding/litter/substrate:

Frequency of enclosure cleanings:


No UV exposure
Time spent outdoors
UV light over enclosure



My pet is almost always in its enclosure
My pet spends supervised time out of enclosure
My pet spends unsupervised time out of enclosure




Normal Not normal
If not normal please describe:


Yes No


Daily
Weekly
Monthly
Bimonthly
Quarterly
Semi-annually
Annually
As needed
Never
Other



For Reptiles Only




For Birds Only


Flighted Non-flighted


Sexual dimorphism
DNA sexing
Egg laying
Has not been reliably determined


Male Female Unknown







Egg Laying for Birds and Reptiles