Kennebec Valley Humane Society
10 Pet Haven Lane
Augusta, ME 04330
(207) 626-3491
Incoming Pocket Pet Profile
Date:
Household Information:
1. Animal’s name______2. Gender Ο male Ο female 3. Age______
4. Breed______5. How long have you had this pet? ______
6. Is the pet spayed or neutered? Ο yes Ο no
7. Your relationship to the pet? Ο owner Ο friend/caretaker Ο foster Ο other______
8. Where did you get this pet from? Ο this shelter Ο friend/relative Ο newspaper/website Ο found Ο breeder Ο pet store Ο other shelter/rescue (name)______Ο other (describe)______
9. Why are you giving this pet up? ______
10. Including yourself, how many people of the following ages live in your house?
Age Range / Male / Female0-3
4-9
10-17
18-29
30+
11. What other animals did your pet live with? Ο dogs Ο cats Ο other______
12. What brand of food has your pet been fed?______
13. Are there any special treats he/she enjoys?______
14. What kind of bedding have you been using? Ο cedar Ο pine Ο carefresh Ο newspaper
15. Does your pet like to be handled? Ο yes (how often?)______Ο no
16. Is your pet good with children? Ο yes Ο no
17. Where is your pet kept during the day? Ο inside cage Ο loose in house Ο other______
18. Where is your pet kept at night? Ο inside cage Ο loose in house Ο other______
19. Does your pet like to be groomed? Ο yes Ο no
20. Is your pet litter box trained? Ο yes Ο no
21. Does your pet have a favorite toy or chew?______
22. Is your pet afraid of anything?______
23. Does your pet have any bad habits?______
24. How would you describe your pet’s personality? Ο playful Ο lazy Ο vocal Ο friendly Ο shy Ο independent Ο aloof Ο fearful Ο quiet Ο affectionate Ο mellow Ο other______
25. Has your pet ever inflicted a serious injury to a person or other animal? Ο yes (describe)______Ο no
26. Does your pet have any current or past medical problems?______
27. When is your pet most active? Ο day Ο night
Please feel free to tell us any additional helpful comments. ______