Why are you giving up this rodent?

How long have you owned him/her?

Where did you get this pet?

The rodent was housed in a: (circle one)     Wire bottom cage     Plastic Habitrail     In an aquarium

This rodent is compatible with: (circle any that apply)     Other like rodents     Other     Children (list childrens' ages)

The rodent could be described as:     Sedate     Reserved     Shy      Playful     Affectionate      Skittish

The rodent's favorite goods are: Rodent Chow (what brand?)     Fresh Fruit & Vegetables (what types?)

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

Rodent's favorite toys/games are:

Rodent's Veterinarian is: 

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

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