Why are you giving up this rabbit?

How long have you owned him/her?

Where did you get this pet?

How much time did the rabbit spend inside the house?

Is the rabbit litterbox trained?

The rabbit was housed in: (circle one)     Wire bottom cage     Outdoor hutch     Indoors Only (no cage)

The rabbit is compatible with: (circle any that apply)      Other rabbits     Cats      Dogs     Children (list childrens' ages)

The rabbit could be described as: (circle any that apply)     Sedate     Reserved     Shy     Playful     Affectionate     Lap Rabbit

The rabbit's diet is: (circle any that apply)     Alfalfa pellets     Alfalfa hay     Fresh Fruit     Fresh Veggies

The rabbit has been fed: (circle one)       In the AM     In the PM     All day

Rabbit's favorite toys/games are:

Rabbit's Veterinarian is: 

Any illness/condition/injury a new owner should know:

Anything else that you would like to say about this rabbit: