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