Ferret Health Questionnaire Form in Nepean, ON

Owner’s Name

Date

Address

Postal Code

Phone numbers (home)

(cell)

(work)

Email

Emerg. Contact(other than immediate family):

ph:

Pet’s Name

Breed

Colour

Sex

Male
Female
Neutered
Spayed

Age or Birthday

How did you acquire your ferret ?

What type of food do you feed your ferret and h ow much do you feed?

Treats

Other

Has your ferret been to a veterinarian before? If yes, when/where?

Yes
No

Has your ferret received vaccines before? If yes, when/which vaccines?

Yes
No

Does your ferret drink from a bottle or a bowl?

Does your ferret use a litter box ?

Yes
No

How much time does your ferret spend in its cage or does he/she have their own room to run in?

What kind of toys or stimulation do you offer to your ferret?

What do you use for bedding and how often do you clean the cage ?

Does your ferret go outside? If yes, how much time is spent outside?

Yes
No

Do you groom your ferret (i.e. trim nails, brush fur)?

Yes
No

If yes, how often?

Do you provide dental care for your ferret ( i.e. brush teeth)?

Yes
No

If yes, how often?

Does your ferret have any contact with other pets inside or outside of the home ?

Yes
No

Are there any health issues you wish to discuss?

Yes
No

Does your ferret chew on things that he/she should not chew on?

Yes
No

Have you noticed any of the following:

Do you have any other questions or concerns ?

Name

This field is for validation purposes and should be left unchanged.

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Ferret Health Questionnaire Form