Owner Information
Name
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First Name
Last Name
Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Pet Information
Pet's Name
*
Basics
Where did you acquire your pet?
*
How long have you had your pet?
*
When was your pet's last shed
*
What concerns do you have about your pet? Please specify the issue(s), when it started, duration of problem, any treatments, and any husbandry changes:
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Environment
What type of enclosure do you have?
What are the dimensions of enclosure?
Where is the enclosure located in the house?
What type of substrate do you use to line the enclosure?
How often is the substrate cleaned or changed?
What type of cleaning products do you use?
What type of filter system is used (aquatic species only)?
How often do you change the water (aquatic species only)?
What accessories/toys do you have in the enclosure?
Does your pet live with any cage mates?
Diet
What do you feed your pet (Please specify brands and amount fed)?
How often do you feed your pet?
How much and what is left over after feeding?
Do you supplement with calcium powder? With or without Vitamin D3?
What other vitamin and mineral supplements are you providing?
How do you provide water inside the enclosure?
Temperature
What and where is the heat source?
How do you measure the temperature (e.g thermometer, infrared)?
What is the minimum basking temperature?
What is the maximum basking temperature?
Humidity
What is the humidity level inside the enclosure?
How often does your pet soak?
Lighting
Do you provide UVA/UVB lights?
If so how often are the lights changed?
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Day
Year
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