Owner First Name *
Owner Surname *
Owner Phone Number *
Rabbit Name *
Were any new pets introduced to the household recently? If so, were were they acquired from, and when? *
If their diet has changed recently, please describe. List all foods offered, including the amount. *
What treats do they receive? Include the amount and frequency of each. *
Is parasite prevention up to date? What was applied/administered, and when? *
Have their housing arrangements changed? Leave blank if not.
Describe the problem, including when it started? *
Has there been a recent change in environment? *
Have you noticed any diarrhoea? If so, describe the frequency, and when it was first noticed. *
Have you noticed any breathing changes or sneezing? If so, describe the frequency, and when it was first noticed. *
Has there been a recent change in behaviour? If so, please describe. *
Has there been a recent change in thirst or appetite? If so, please describe. *
Do you have any questions for the vet which haven't been mentioned in the above history questions?
