Guinea Pig Personality Profile

Have you already called us about this pet?*

Yes
No

Please provide your hotline number here:*

CHS will not to reply to inquiries without a valid hotline number.

The first step to requesting a pet surrender is to call CHS. Please call 800-452-0114 to start the process.

CONTACT INFORMATION

Reason for Surrender:*

Date*

Name:*

Prefix First Last

Address*

Street Address Address Line 2 City State ZIP Code

Primary Phone:*

Secondary Phone:

Email:*

Preferred method of contact:*

Phone
Email

BASIC INFORMATION

Guinea Pig's Name:*

Age or DOB:*

Color/markings:

Sex:*

Male
Female
I don't know

Is this Guinea pig spayed or neutered?*

Your pet is spayed or neutered if a veterinarian did surgery to prevent your pet from having babies.

Yes
No
I don't know

What is the name of the veterinary clinic (or veterinarian's name) where your Guinea pig was spayed or neutered?

At what age was your Guinea pig spayed or neutered?

Is this pet microchipped?*

Yes
No
I don't know

Please provide the microchip number and microchip company:

Is the microchip registered to you as the owner?*

Yes
No
This microchip was never registered

Describe your relationship to the registered owner:

Permission from the registered owner will be required to proceed with a surrender.

Are you the primary owner?*

Yes
No

Please explain your relationship to the owner:

How long have you owned this Guinea pig?*

Where did you get this Guinea pig?*

If you got this Guinea pig from a previous owner, why did they give the Guinea pig away?

Please share available details about the previous family:

If you got this Guinea pig from another adoption agency, which one?

If you got this Guinea pig from another adoption agency, have you notified them that you can no longer keep this pet?

Yes
No

HEALTHCARE

Has this Guinea pig ever been to a veterinarian?*

Yes
No

Name of the veterinary hospital or clinic:

Phone number and town for the veterinary hospital or clinic:

Does this Guinea pig have any present or past medical conditions?*

Yes
No

Details:

Does this pet currently have any wounds or missing hair?*

Yes
No

Please describe:

Are you able to clip his/her nails?*

Yes
No

How often were they trimmed?

HOUSING AND DIET

What types and brands of food do you feed?*

What types and brands of hay do you feed?*

What fruits and vegetables does s/he enjoy?*

What treats has s/he been given?*

How do you provide water to this Guinea pig?*

Bottle
Bowl
Other

Describe how you provide water to this Guinea pig:

Please describe the cage or enclosure including type, size and type of bedding used:*

Is this Guinea pig allowed out of its cage in the home?

Yes
No

How often and for how long?*

What does this Guinea pig do when free roaming?*

Details:

Does this Guinea pig ever go outdoors? (Hutch, exercise pen, etc.)

Yes
No

How often and for how long?*

How do you contain this Guinea pig when outdoors?*

Does this Guinea pig use a litter box?*

Yes
No

What kind of litter and box?*

HOUSEHOLD INFORMATION AND BEHAVIOR

How many adults live with this Guinea pig?*

Please enter a number from 0 to 15.

Do any children live with this Guinea pig?*

Yes
No

How many children live with this Guinea pig and what are their ages?*

How does this Guinea pig get along with everyone in the home?

Does this Guinea pig like to be picked up and handled by people?

Yes
No

Describe what this Guinea pig does when you handle him/her.*

Has this Guinea pig ever bitten anyone?*

Yes
No

Has this Guinea pig bitten people more than once?*

Yes
No

When was the most recent time this guinea pig bit someone?*

Please describe the circumstances of the bite(s).*

Did the bite cause any bruises or scratches?*

Yes
No

Details:

Did the bite cause any bleeding?*

Yes
No

Details:

Do any other Guinea pigs live with this Guinea pig?*

Yes
No

Please list any other Guinea pigs that live with this Guinea pig, including ages, sex, spay/neuter status and breed. (IE: "Dynamite" a 1 year old, spayed female, Abyssinian)*

Does this Guinea pig interact with the other Guinea pigs?*

Yes
No

Details:

How does this Guinea pig react to the other Guinea pig(s)?*

Do any dogs live with this Guinea pig?*

Yes
No

Please list any dogs that live with this Guinea pig, including breeds (or size). (IE: "Cooper" a medium sized, Australian cattle dog)*

Does this Guinea pig interact with the dog(s)?*

Yes
No

Details:

How does this Guinea pig react to the dog(s)?*

Do any cats live with this Guinea pig?*

Yes
No

Please list any cats that live with this Guinea pig:*

Does this Guinea pig interact with the cat(s)?*

Yes
No

Details:

How does this Guinea pig react to the cat(s)?*

Do any other pets live with this Guinea pig?*

Yes
No

Please list any other pets that live with this Guinea pig, including species:*

Does this Guinea pig interact with the other pet(s)?*

Yes
No

Details:

How does this Guinea pig react to the other pet(s)?*

How would you describe this Guinea pig? (Check all that apply.)*

Social
Nippy
Affectionate
Skittish/shy
Playful
Active
Quiet
Vocal
Other

Please explain:

Notes

Does this Guinea pig have any characteristics or habits we should know about? (IE: chewing electrical cords, chewing moulding, etc.)*

What is the most important thing for a new owner to know about this Guinea pig?*

Please upload a photo of your pet here. Please be sure that it does not include any people, just your pet.

Max. file size: 256 MB.

Please upload any veterinary records, vaccine certificates, or other documents for your pet here.

Drop files here or

Max. file size: 256 MB.

To which CHS location would you like to bring your pet?*

Newington, 701 Russell Road
Waterford, 169 Old Colchester Road (Quaker Hill)
Westport, 455 Post Road East

CAPTCHA

Banner Text

About Us

Education and Outreach

Programs and Services

Resources

Adopt

Volunteer

Donate

Events/Service Projects

CONTACT INFORMATION

BASIC INFORMATION

HEALTHCARE

HOUSING AND DIET

HOUSEHOLD INFORMATION AND BEHAVIOR

Notes

Save Lives Today

$25_/MONTH

$100

$72

$50

Newington / Offices

Fox Memorial Clinic

Waterford

Westport

Adoptions: 12-4:30 pm daily in Newington, by appointment only in Waterford and Westport

Need an Appointment? Have Questions?

About Us

Education and Outreach

Programs and Services

Resources

Adopt

Volunteer

Donate

Events/Service Projects

Guinea Pig Personality Profile

CONTACT INFORMATION

BASIC INFORMATION

HEALTHCARE

HOUSING AND DIET

HOUSEHOLD INFORMATION AND BEHAVIOR

Notes

Save Lives Today

$25/MONTH

$100

$72

$50

Newington / Offices

Fox Memorial Clinic

Waterford

Westport

Share

Copy short link

$25_/MONTH