Rabbit Behaviour Questionnaire / Terms & Information
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- Jasmin Bishop
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1 (Office Use) Case Ref Rabbit Behaviour Questionnaire / Terms & Information Obtaining this information prior to meeting allows best use to be made of the consultation time. Please be as accurate as possible and ensure that you sign and date the final page. Either the completed questionnaire to info@animalbehaviourconsult.co.uk or post it to Park House, 30 Albany Road, Fleet, Hampshire, GU51 3LY. General Information Clients name(s): Referring Veterinary Surgeon: Clients Address: Rabbits name: Breed or breed-type: Sex (male or female): Postcode: Neutered (yes or no): Age neutered: Tel(s): Rabbits current age: address: Age when obtained: Please describe your rabbits temperament: Have you owned a rabbit before? If yes, which breed? Early History Where did you get your rabbit from? No. previous owners: Please describe previous environments, i.e. kept indoors, outside hutch, children, other pets, handreared: If from a rescue organisation, how long was he/she there? What were the reasons for re-homing? Why did you choose this individual or breed? Health Status Does your rabbit have current or previous health problems? Is your rabbit given medication, herbal remedies or food supplements? Has your rabbit ever been bred from (if so, please provide details)? info@animalbehaviourconsult.co.uk RBQ Pg 1/6
2 Present Household Please list human household members, detailing age and involvement with the rabbit concerned: Name Age Involvement with Rabbit Who else is involved with the care of your rabbit, e.g. groomers, boarding facilities? Name Involvement with Rabbit Please list all other pets within the household: Name Species / Breed Age M/F Neutered (Y/N) Date Joined Household Please describe the relationship(s) between household pets: Daily Routine Does your rabbit live indoors or outdoors during the day? Does your rabbit live indoors or outdoors during the night? Does your rabbit share its accommodation with another pet (please detail)? How many hours of human company does your rabbit have in a typical day? At what time of day or night is your rabbit most active? Does your rabbit seek out high places to rest? Where does your rabbit tend to go to toilet? Is your rabbit litter-trained? Does your rabbit engage in undesirable chewing behaviour i.e. chewing furniture? info@animalbehaviourconsult.co.uk RBQ Pg 2/6
3 Please describe a typical 24 hr period for your rabbit: Diet What type and brand of concentrated food is your rabbit fed (i.e.pellets)? What type or brand of commercial treats are given, & how often? How many times a day is he/she fed concentrated food, & at what times? Do you include supplements (please describe)? Does your rabbit have constant access to hay? If so, which brand? If hay is provided, is this separate to bedding hay? Does your rabbit have access to fresh grass? Do you feed vegetables, herbs or fruit to your rabbit? Where is your rabbit fed? Who feeds your rabbit? Does changing his/her food affect behaviour? Is water provided in a bowl or a ball-bearing water bottle? Housing / Exercise Please describe your home, i.e. house, apartment, ground-floor etc: Please detail (approx) dimensions of your rabbit s main housing area: What material is the main housing area made of, i.e. wood or plastic: What substrate is used in the main housing area, i.e. wood chips or hay: Please detail (approx) dimensions of any exercise run: How many hours per day on average can your rabbit access their run? Does your rabbit have access to a garden? If so, when? Please describe any housing complexity, i.e. tunnels or soil-filled trays: Please describe any furnishings within the exercise run, i.e. tunnels or pet carriers: Does your rabbit play with toys? What types? info@animalbehaviourconsult.co.uk RBQ Pg 3/6
4 Training Have you ever trained your rabbit? If so, please describe methods and outcomes: Have you ever involved another behaviourist? If so, please provide details: Elimination Behaviour Does your rabbit use a litter tray or specific area? If so, is this for urine, faeces or both? Does your rabbit ever eliminate outside of this area? How many litter trays are available? What type (covered or uncovered)? Where are the litter trays located? What litter material is used? Do you always use the same litter type and brand? How often is the litter replaced and the tray or area cleaned? What cleaning solution is used to clean the tray or area? Social Behaviour Is your rabbit part of a bonded pair or group (please describe)? If so, how long have they lived together? What introduction methods were used? (Where applicable) Do these individuals participate in mutual grooming? Has your rabbit previously lived with a different animal to any described above? Behaviour Causing Concern Please describe the behaviour(s) causing concern. If more than one, please specify in the order of concern you place them in: When does this behaviour occur? Is the behaviour directed at a particular individual? Who is usually present at the time? info@animalbehaviourconsult.co.uk RBQ Pg 4/6
5 What happens immediately before these behaviours are displayed? Please describe how you or others react, or have reacted, to the behaviour: When did this behaviour first occur? Please describe the first incident: Are you aware of any change in circumstances or trauma for your rabbit around this time? Has the frequency or severity of this behaviour since increased? Please describe the last incidence: Are you aware of related pets having behavioural or medical problems? Do other pets he/she has contact with display similar behaviours? Please describe previous methods used to resolve this issue: What action would be considered if the behaviour continued? Does your rabbit ever display aggression? Please describe: Please describe scenarios which cause your rabbit anxiety, i.e. grooming, loud noises: Rehabilitation Please describe your expectations of behaviour therapy: How much time can each household member dedicate to addressing the issue? RBQ Pg 5/6
6 Terms & Information A behaviour diagnosis and treatment plan will be discussed during the consultation once information has been collected. A detailed report will then be ed and/or posted within c.1 week and a copy of the report will be sent to the referring veterinarian. Support will be provided by or telephone. Pet behaviour therapy can help identify maintenance factors with problem behaviour and methods to improve this. Treatment plans may produce desired results quickly, although it is often the case that time, commitment and consistency are required. The amount of progress made over time can vary according to the individual pet and owner. Implementing the treatment plan remains the owner s responsibility at all times, alongside responsibility for the pet s welfare and behaviour. The consultation fee includes a home visit, report and receipt, travel local to Fleet and /telephone support for 12 weeks; up to a total of four hours time (this may be extended on a discretionary basis). Further appointments in-person are not generally required, but if requested these are chargeable. If applicable, travel fees are agreed at the time of the enquiry. Payment is due by cash, cheque or bank transfer on the day of the consultation. A charge of 50% of the fee may be incurred for cancellations within 14 days of the scheduled consultation to compensate for preparation time and business loss. Privacy Notice Animal Behaviour Consult Ltd collects and processes personal information about you when you engage us for services. This is essential for us to carry out the service effectively and fulfil our regulatory obligations. We use personal information collected for internal record keeping, completion of correspondence with you and implementation of services. The choice of how much information you provide is always in your control, however, certain information may be required in order for us to provide a service. We will not distribute your personal information to third parties other than referring veterinarians unless we have your permission to do so or are required to by law or regulation. If you believe that any information of yours in our possession is incorrect, or if you wish to cease corresponding with us or for us to remove your information from our system, please contact us and we will take the necessary steps subject to legal regulation - within 28 days of receipt. By completing and returning this form, you are agreeing to the terms detailed above. Clients name: Clients signature: Date: I look forward to meeting with you and your pet soon. If your situation changes, please let me know. Deborah Fry BSc (Hons) MSc CCAB Tel info@animalbehaviourconsult.co.uk RBQ Pg 6/6
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