Foster Volunteer Name* First Last Phone*Email* What type of foster animal do you have?* Rabbit Guinea pig Foster Animal Name(s)* For which CHS location are you fostering?* Newington, 701 Russell Road Waterford, 169 Old Colchester Road (Quaker Hill) Westport, 455 Post Road East This questionnaire is used to help CHS find the best possible home for your foster pet and prepare the new family with information about his/her history. Please complete it as completely and accurately as possible.Household Information and Social BehaviorWhen you first brought your foster pet, how did he/she react? Friendly Quick to interact with people Interested in new environment Shy/hid Startled easily with new noises and/or visuals Aggressive After adjusting to your home, how was your foster pet? Friendly Quick to interact with people Interested in new environment Shy/hid Startled easily with new noises and/or visuals Aggressive How long did it take for him/her to adjust? Including yourself, please record all individuals by first name only who lived with this pet, their age range, gender and any additional notes you wish to add.Did your foster pet interact with any pets in the home? (Check all that apply) Dogs Cats Small Animals Birds Reptiles No, we do not have other pets No, we did not let our pets interact with the rabbit(s) If your foster pet interacted with your dog, not age/sex/breed of the dog? How did your foster pet typically behave towards men he/she knows? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards women he/she knows? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards children he/she knows? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards men he/she does not know? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards women he/she does not know? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards children he/she does not know? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards dogs he/she knows? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards cats he/she knows? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How did your foster pet typically behave towards other animals he/she knows? (Check all that apply) Unknown Friendly Fearful Growls/Grunts Bites How would you describe your foster pet's personality? (Check all that apply) Playful Vocal Friendly Affectionate Hyper Outgoing Mischievous Fearless Lap Rabbit Independent Shy Fearful Quiet Aloof Aggressive How does your foster pet typically respond when an unfamiliar person approaches or enters the house? (Check all that apply) Friendly Affectionate Indifferent Scared Hides Aggressive How active is this pet? Very active Somewhat active Inactive Where does this rabbit/Guinea pig like to be pet? (Check all that apply) Head Back Rump Ears Other If other, please explain: Does this pet like to be picked up and held? Yes No If yes, how long do they like to be held? If no, what do they do? What best describes your home? Empty - I am rarely home Quiet - someone is always home Average - I'm home and away 50/50 Busy - people always coming and going Routine and HabitsDoes this rabbit use a litter box? Yes No If no, please explain: What type of litter does the rabbit prefer? Have you used any other litter types? If so, what? What type of box does the rabbit prefer? (IE: Flat, corner, etc.) Did your foster rabbit have accidents while free ranging in the house? Yes, urinates Yes, defecates No If the rabbit had accidents, how often? Daily Weekly Once in a while When did this behavior first occur? What has been done so far to correct the problem?Does your foster pet like to play? (Check all that apply) No interest in play Will throw/flip objects Will push objects Will run around Jumps/flips Plays rough, may scratch/bite Plays with toys Plays gently Was your foster pet allowed on furniture? Yes No Was your foster rabbit destructive? (Check all that apply) No Chews wires Chews/scratches furniture or other household objects Scratches carpets Chews/eats plants Other If other, please describe. What has been done to deter this behavior and was it successful?Does this pet have any bad habits or unique behaviors a future adopter should know about? Please describe:Does this pet have any greens or veggies they prefer? Does this pet prefer a water bottle or bowl? Does this rabbit enjoy exercise? Yes No Please describe: Does this rabbit have any particular toys and/or chews they prefer? BehaviorHas your foster pet ever bitten anyone? Yes No Date of the bite. MM slash DD slash YYYY Details: Has your foster rabbit ever attacked another animal? Yes No Details: Adoption Memo: Please write a few sentences about your foster pet for use in their adoption write-up.