COMMUNITY SERVICES | Irvine Animal Care Center

RABBIT ADOPTER SURVEY

Thank you for your interest in adopting a new family member from our center. In an effort to help you find your match, please provide the following information. Adopters must be 18 years or older.

First Name

Last Name

Street Address

City

State

Zip

Preferred Phone

How many adults live in your household?

How many children live in your household?

Seniors may qualify for special pricing. Are you 62 years of age or older?

Yes

Enter the rabbit name(s) as listed on the adopt webpage:

First Choice

Second Choice

Third Choice

TELL US ABOUT YOU

Home lifestyle:

Very active

Active

Calm and quiet

Outside I have:

Fenced yard

Type/Height:

Other pets in home:

Rabbit experience:

First time owner

Had one or two

Had many

Current rabbit(s):

Is your rabbit fixed?

Yes

Who will be primarily responsible for this rabbit?

Will this rabbit be allowed access to:

Unfenced yard

Patio

Upstairs balcony

No yard/patio

Where will this rabbit live?

Wire cage

Rabbit hutch

X-pen

Other

Located in:

Garage

Mostly inside

Inside

Mostly outside

Outside

Both (inside/outside)

Where will this rabbit sleep at night:

Where will this rabbit stay when you are not home?

YOUR WANTS AND NEEDS

Check all personality traits you must have:

Independent

Friendly - wants to be held

Always wants to be with you

Likes to play

Likes to be petted

Active

Mellow

Litter box trained

Check all personality traits you would like:

Independent

Friendly - wants to be held

Always wants to be with you

Likes to play

Likes to be petted

Active

Mellow

Litter box trained

Check all personality traits you do not care about:

Independent

Friendly - wants to be held

Always wants to be with you

Likes to play

Likes to be petted

Active

Mellow

Litter box trained

CURRENT/PREVIOUS RABBIT HISTORY

Choose the answer below that best describes how you dealt with litter box training/marking:

Choose the answer below that best describes how you dealt with scratching/biting people:

Choose the answer below that best describes how you dealt with scratching/chewing furniture:

Choose the answer below that best describes how you dealt with chewing on carpet.

Choose the answer below that best describes how you dealt with hyperactivity/will not calm down.

Choose the answer below that best describes how you dealt with shedding on furniture:

Choose the answer below that best describes how you dealt with not listening/obey:

Choose the answer below that best describes how you dealt with chewing or scratching destruction:

Choose the answer below that best describes how you dealt with escaping the yard or house:

Choose the answer below that best describes how you dealt with not like being held/picked up:

BEHAVIOR

Check what circumstance is unacceptable to you or what may prompt you to return or give away this rabbit:

Allergies

Having a baby

Child leaving for college

Moving (no pets allowed)

Other

THINKING AHEAD

Shedding

Low

Medium

High

Where will you keep the litter boxes:

Do you have a swimming pool:

Have you ever given up a pet:

Yes

If yes, why:

Under what circumstances would you give up this rabbit?

The adoption of a rabbit is a commitment for the life of an animal and should be a carefully thought out decision. Since this is a lifelong companion, are you willing to make the investment in both time and finances (up to $1,000 annually) to care for and properly manage your new pet?

Yes

Thank you for your honest answers. The information you provide will help us find a pet that is suitable for you.

The City of Irvine takes your privacy seriously. This form asks you to provide the City with certain personal information. Such information is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence regarding the subject-matter of this form. Pursuant to Measure S, an initiative ordinance passed by City voters in 2008, all information provided on this form will be kept confidential. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals.