Hamster Questionnaire

Client Details
Name
First Last
Phone Number
Email Address
Hamster Details
Name
Age (date of birth)
Sex
Is your hamster spayed or neutered?
Date acquired
Source (pet shop, friend, breeder, etc)
Details of Other Pets
Do you have any other hamsters? If yes, please provide details (name, date acquired, source, any known illness)
Do you have any other pets? If yes, please provide details (species, date acquired, source, any known illness)
Husbandry
What is the temperature in your home?
Is the house centrally heated?
Are the windows in your home double-insulated?
Is your hamster kept in a cage indoors? If yes, please provide approximate dimensions
Please describe the bedding and litter used in the cage
Are there any smokers in the household?
Where does your hamster urinate and defecate?
Has your hamster damaged any household items? If yes, please provide details (item, how and when it was damaged)
Food
Please describe your hamster's diet (Include pellets, all snacks, treats, any food related item)
Where do you purchase your hamster's food?
Has there been a recent change in diet? If yes, please specify
Are any of the following given to your hamster?
- Vitamins
- Minerals
- Medicines
- Probiotics
- Tonics
Water
Does your hamster drink from a bowl or a sipper-bottle?
How much water does your hamster drink each day?
Has the drinking increased or decreased as of late? If yes, when did you notice?
The Presenting Health Concern
Has your hamster had any previous health issues? If yes, please provide details
Please describe your hamster’s clinical symptoms
Does the skin and fur appear normal?
Has there been any excessive scratching?
Has there been any nasal or ocular discharge? If yes, please provide details
Has there been any odd positioning or loss of use of any limbs? If yes, please specify
Has there been any abnormal vocalization?
Are your hamster’s droppings normal in appearance and size? If not, please provide details
Any additional comments

Hamster Questionnaire

Client Details

Hamster Details

Details of Other Pets

Husbandry

Food

Water

The Presenting Health Concern

About Us

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Location

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