Please complete as much information as possible. Feel free to expand on any issue or ask any question in the Comments section at the bottom. I also welcome your feedback and suggestions. If, for some reason, you are not up to or ready to complete the form, please just fill in your name and email address, then skip down to comments, and send in the form. Please save it and email it to Me@WhoKnows.com.
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Name |
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EMail |
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Address |
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City |
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St, Zip |
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Work Phone |
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Home Phone |
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Cell Phone |
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I am inquiring for |
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My child |
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Family |
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Myself |
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Other |
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The primary care giver will be |
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My child |
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Myself, as parent |
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Myself |
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Other |
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Please
list family members, or any humans who live in your household, including
roommates, students, etc. |
First Name |
Age (if child) |
Primary Care Giver? |
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Piggie/s of interest (opt) |
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Desire Single or |
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Single |
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Non-mating pair |
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Need pal for existing guinea pig? |
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If so, I have |
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Female |
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Male (intact) |
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Male (neutered) |
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More than one female |
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More than one male |
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A mixed herd |
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If you currently have a guinea
pig/s, please describe their current diet, including frequency of feedings,
bedding, . . . |
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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 in your care? |
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How much money--per week--are you
willing to budget to care for a guinea pig/s? |
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$0 because |
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$5 |
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$10 |
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$15 |
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$20 |
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$25 |
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$30 |
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Are you willing to take the
guinea pig/s to a vet for an annual checkup? |
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How much money are you willing to
spend in a medical emergency for a guinea pig? |
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Have you purchased a cage yet? |
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If you have a cage, please
describe it, especially dimensions |
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Anticipated or existing cage
location (which room in house or outdoors) |
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Do you rent or own? |
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Do you anticipate moving soon? |
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If so, when? |
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Have you ever owned guinea pigs
before? If yes, please describe history |
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Please describe prior history of
pet ownership. Please include type, age, sex, where you got him/her, why you
stopped owning him/her |
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Have you ever had to surrender an
animal to a shelter? If so, please describe the circumstances |
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Do any
members of your family or household have any allergies to animals? If yes,
please describe |
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Please
describe why you want a guinea pig as a companion |
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Do you
plan on showing the guinea pig/s? |
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Would you
like to breed the guinea pig/s now or in the future? |
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Yes, now |
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Yes, later |
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It would be nice to have
babies sometime in the future |
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No |
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When you
go away on vacations or business trips, you would (please describe plans for
care or travel) |
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Please
describe level of research you have done to date on guinea pigs (check all
that apply) |
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None yet, just getting started |
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What I was told at the pet store |
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What I was told by the breeder |
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What my friends have told me |
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Books on guinea pig care |
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Preliminary internet research |
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Moderate internet research |
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Extensive internet research |
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Other |
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How long have
you been thinking about and searching for a guinea pig? |
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I heard
about you from |
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If the
guinea pig is "for your child," does your child have access to the
internet for research and posting on forums? |
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Yes, full internet access |
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Yes, limited access |
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No, not allowed on the
internet |
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No, not old enough |
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Other |
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Additional
comments or questions |
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