Rabbit And Rodent Information Sheet - University Animal Clinic Page 3

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Reproductive
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Has this pet been bred before? Yes ❑
No ❑ If yes how, many times? _______
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When was it last bred? ________________________
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What was the size of all previous litter(s)? ______________________________
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Was the litter healthy? Yes ❑
No ❑
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Do you plan on breeding this pet in the future? Yes ❑
No ❑
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Is your pet here for a wellness check-up ___ or is it sick ___ (please check one)?
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If your pet is sick, please describe the signs and how long your pet has been showing these signs: _________
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_________________________________________________________________________________________
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_________________________________________________________________________________________
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Is your pet's activity level, normal ❑
decreased ❑
or increased ❑?
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Is your pet's appetite, normal ❑
decreased ❑
or increased ❑?
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Have you noticed any of the following?
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Weight loss: Yes ❑
No ❑
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Weight gain: Yes ❑
No ❑
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Discharge from the eyes or nose: Yes ❑
No ❑
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Increased breathing rate or effort: Yes ❑
No ❑
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A change in the droppings: Yes ❑
No ❑
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Increase in thirst: Yes ❑
No ❑
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General weakness: Yes ❑
No ❑
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Please describe: _________________________________________________________________________

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