Name E-mail Address City St, Zip Work Phone Home Phone Cell Phone I am inquiring for
My child Family Myself Other The primary care giver will be
Son or Daughter Myself, as parent Myself Other Please list family members, or any humans who live in your household, including roommates, students, etc.
First name, Age if child, Primary care giver? Piggie/s of Interest (opt) Desire Single or Non-mating Pair? Single PairNeed pal for existing guinea pig? YesIf so, I have (regardless of who is in what cage) a Female a Male (intact) a Male (neutered) more than one female more than one male a mixed herd If you currently have a guinea pig/s, please indicate age and sex and describe their care, including diet, frequency of feedings, bedding, etc. Please list other pets in the household and include as much detail as possible, including how long you've had the pet Type, Age, Sex, Spayed/Neutered, Where kept, How long? Do you have a vet, if so, who (name & phone number)? No Yes No, need a recommendationIf Yes, Is that vet an exotic vet? No Yes Don't know If Yes, Does that vet see guinea pigs? No Yes Don't know How much money--per week--are you willing to budget to care for a guinea pig/s? $0 because $5 $15 $25 $10 $20 $30Are you willing to take the guinea pig/s to a vet for an annual checkup? Yes NoHow much money are you willing to spend in a medical emergency for a guinea pig? Have you purchased a cage yet? not applicable Yes No If Yes, is it brand new (not used yet?) YesIf you have a cage, please describe it, especially dimensions Anticipated or existing cage location (which room in house or outdoors) Do you rent or own? Rent Apt Own Share Rental Rent House If Rent, is landlord okay with these pets? Yes Do you anticipate moving soon? No If yes, when Have you ever owned guinea pigs before? If yes, please describe history Please describe prior history of pet ownership. Please include type, age, sex, where you got him/her, why you stopped owning him/her Have you ever had to surrender an animal to a shelter? If so, please describe the circumstances Do any members of your family or household have any allergies to animals? If yes, please describe
Please describe why you want a guinea pig as a companion
Do you plan on showing the guinea pig/s?
No Yes Yes, we are active in 4HWould you like to breed the guinea pig/s now or in the future?
Yes, now Yes, at some time in the future It would be nice to have babies sometime in the future No When you go away on vacations or business trips, you would (please describe plans for care or travel)
Don't know, looking for advice Please describe level of research you have done to date on guinea pigs (check all that apply)
None yet, just getting started What I was told at the pet store What I was told by the breeder What my friends have told me Book/s on guinea pig care Preliminary internet research Moderate internet research Extensive internet research Other How long have you been thinking about and searching for a guinea pig?
I heard about you from
Internet search (please indicate which engine) Don't remember Cavy Madness Website Guinea Lynx Forum Petfinder GPAN (Guinea Pig Adoption Network Website) Cavies Galore Website CavyRescue.com AOL Forum Another Web Site (please indicate which one) Peninsula Humane Society Santa Clara Humane Society Craigslist Website Personal Referral Adobe Animal Hospital (Dr. Nakamura) Lyndsey Museum SF Chronicle Classifieds SJ Mercury News Classifieds San Mateo Daily News San Mateo Journal Other . . . . . . . . . . . . . . . . . . . Additional InfoIf the guinea pig is "for your child," does your child have access to the internet for research and posting on forums?
Yes, full internet access Yes, limited access No, not allowed on the internet at all No, not old enough
Any additional comments or questions