Rabbit Adoption Questionnaire

Rabbit Advocates

Pre-Adoption Questionnaire

Please fill out form completely and enter N/A if question doesn't apply.

If you are interested in a specific rabbit, please email the foster parent directly. This application will be forwarded to all foster homes.

Name *

Address

City

State

Zip

Phone

Describe the qualities you want in a companion rabbit.

How long have you been thinking about adopting a rabbit?

Why do you want to adopt a rabbit?

How many of each in your household?

Adults

Children

Children ages?

For whom is this rabbit being adopted?

Name of primary caretaker

Primary Caretaker
Adult
Child

If child, enter age

What research or reading have you done and what experience have you had with companion rabbits?

Are you interested in educational materials regarding houserabbits?
Yes
No

Veterinarian Name and Vet Clinic

What do you expect to spend for veterinary services each year for your rabbit(s)?

Plans for housing
Inside
Outside

Describe living area size, location, etc.

Would you like assistance in planning your rabbit's housing?
Yes
No

Do you currently own or rent?
Own
Rent

If renting, what pets does your landlord allow?

Landlord phone number

Landlord address

If you move, what will you do with your rabbit(s)?

Name some reasons that may cause you to give up your rabbit

Is there anyone in your family who is allergic to rabbits or hay?
Yes
No

Under what circumstances, if any, will your rabbit be allowed outdoors?

If your rabbit is allowed outdoors, how will you protect the rabbit from escape and from predators (raccoons, hawks, cats, dogs, people, etc.)?

Please list other pets you've had, past and present. List current animals first.

Type of animal #1

Age #1

Sex #1
Male
Female

Altered #1
Yes
No

If you no longer have the animal, please tell what happened #1

Type of animal #2

Age #2

Sex #2
Male
Female

Altered #2
Yes
No

If you no longer have the animal, please tell what happened #2

Type of animal #3

Age #3

Sex #3
Male
Female

Altered #3
Yes
No

If you no longer have the animal, please tell what happened #3

Type of animal #4

Age #4

Sex #4
Male
Female

Altered #4
Yes
No

If you no longer have the animal, please tell what happened #4

Type of animal #5

Age #5

Sex #5
Male
Female

Altered #5
Yes
No

If you no longer have the animal, please tell what happened #5

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