Small Animal Personality Profile
Animal’s Name: _______________________ Age: ______________
Species/Breed: ______________________ Animal Owned For How Long? _____
Surrender Reason: _______________________________________
1. Where did you obtain this animal?
Friend/Neighbor Breeder Newspaper Found stray Classroom Pet
P
et Store (please name): ______________________________________________________
Other: __________________________________________________________________
2
. To your knowledge, how many owners has this animal had? ________________________________
3. If this animal had a previous owner, why was it given up?
4. H
ow does this animal relate and interact with people (please check all that apply):
F
riendly
O
utgoing Scared
De
fensive
Ot
her: ___________________________________________________________________
5
. Has this animal lived with children before? □ Yes □ No
I
f you answered “Yes”, how many children and what were their ages?
I
f you answered “Yes”, how did the animal behave around children?
6. H
as this animal behaved aggressively towards anyone? □ Yes □ No
I
f you answered “Yes”, what were the circumstances?
7. T
his animal enjoys (please check all that apply):
P
etting Being held
P
laying Treats
Other: __________________________________________________________________
8. H
as this animal been housed with other animals? □ Yes □ No
I
f you answered “Yes”, what type of animal(s) and what was its gender?
Dane County Humane Society Small Animal Personality Profile 1
Office Use only:
Animal Number:_____________
Reviewed by (initials):_________
9. Were there other animals in the house that this animal was not housed with? □ Yes □ No
If you answered “Yes”, what type of animal(s) was this animal around?
I
f you answered “Yes”, how does this animal behave around other animals?
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0. How did you house this animal?
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1. Was this animal kept: Indoors only
O
utdoors only
I
ndoors/Outdoors
12. Is this animal litter box trained? □ Yes No
I
f you answered “Yes”, what type of litter did you use?
13. What type of diet did this animal eat? (please check all that apply):
P
ellets (Brand/Type) ___________________
H
ay
S
eed
V
egetables/Fruit
□ Other: __________________________________________________________________
14. How much food does this animal receive daily? _________________________________________
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5. What types of food does this animal enjoy?____________________________________________
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6. Has this animal ever been seen by a vet? □ Yes □ No
I
f you answered “Yes”, when and why did this animal go to the vet?
I
f you answered “Yes”, what veterinarian/clinic did you take the animal to? Please provide as much
information as possible.
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7. Are there any wonderful, special traits or habits you would like his/her new family to know about?
Dane County Humane Society Small Animal Personality Profile 2