Adoption QuestionnairePrior to completing the questionnaire, we strongly encourage all potential adopters to have reviewed the Adoption Information Page. View Adoptables Name * First Name Last Name Email * Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country How did you hear about us? Local News Social Media Website Word of mouth Other The primary caregiver of the rabbit will be: * Do children live in the household? * Please note some rabbits are not suitable to be around children. Yes No Please list the people who live in your household. Include each person's first name, age (may indicate "adult " for adults), and their relationship to you (i.e. spouse, roommate, etc): * Has anyone in your household ever been charged with neglect or cruelty to animals? * Yes No Have you discussed having a house rabbit with all members of your household? * Yes No Do all members of your household enthusiastically want a house rabbit? * Yes No Unknown Do any members of your household currently have or have a history of asthma, allergies to animals, environmental allergies, or allergies to hay? Yes No Unknown If yes or maybe for above, please provide details. Do you own your home? * Yes No If you do not own your home, do you have the permission of your landlord to have a pet? * Yes No N/A Please provide your landlord's contact information: If you move during your bunny's lifetime, what will happen to the bunny? * If your current relationship changes, who will the animal remain with? Please explain: * Please provide a reference who we can contact that can attest to your commitment to your animals: * Include name, contact info, and their relationship to you. No family members please. Provide the name and contact of your current veterinarian/veterinary clinic: May we contact your veterinarian as a reference for you? To expedite this process, please notify your clinic that we may contact them. Yes No I don't have a vet Hopes and Expectations Why did you choose to adopt a rabbit as opposed to another type of animal? * What do you believe are the most important responsibilities involved in caring for an animal? * What role will this bunny play in your family? * Have you had a rabbit before? * Yes No Do you currently have a rabbit ? * Yes No Would you prefer to adopt * Single Pair No preference Is there a specific rabbit you are interested in? Why are you interested in them? How long have you been thinking about adopting a rabbit? * Please select the resources you have used to research. Note: Please ensure that you have reviewed the Adoption Information & Education Sections of the Amy's Bunny Barn Website before proceeding House Rabbit Society House Rabbit Handbook Extensive internet research Breeder Other books on rabbit care Pet store Friend with rabbit experience Preliminary internet research Amy's Bunny Barn Website My bunny must be: Please indicate your preferences, if any, about the rabbit’s physical or emotional characteristics. Size (details below) Breed/Color (details below) Willing to sit on my lap Affectionate Confident Curious Active Age (details below) Comfortable being held Litter trained Easy-going Willing to give kisses Quiet Playful Comfortable with pets Additional details if needed. My bunny must not be: Size (details below) Breed/Color (provide details below) Unwilling to sit on my lap Shy or scared A chewer A digger Age (details below) Unable to be held Messy High energy Easy startled or spooked Rambunctious Additional details, if required. Pet History Do you currently have pets? Please provide info such as type, age, sex, spayed/neutered, etc. Have you ever surrendered an animal to a shelter/animal rescue? * Yes No Have you ever rehomed any of your pets? Yes No On-going Care *Note: We recommend that you do not purchase supplies until after you have connected with one of our adoption screening volunteers. Many supplies which are marketed as being for rabbits are not appropriate for their care (i.e. housing, nutrition/hydration, toys, etc.) If you currently have a rabbit or rabbits, please describe their current diet, including amounts and frequency of feedings: What type of litter do you use, and how frequently do you change their litterbox? Please confirm that you have reviewed the housing section of the Amy's Bunny Barn website before proceeding: https://www.amysbunnybarn.org/housing * I confirm Describe the living conditions you plan to provide for your bunny: Free Roam Contained Area Exercise Pen/ Pet Playpen Cage Other Please provide any details regarding living conditions you plan to provide: Location of living space: Amount of free roam time/time outside of pen/contained area per day: Amount of time with people per day: Are you prepared to cover any veterinary expenses that this bunny incurs throughout their lifetime? * Yes No Which of the following would cause you to give up your bunny? Select all that apply Bunny develops a chronic illness Training issues Divorce/separation Large veterinary bill Having a baby Getting a different pet Moving where pets are not allowed Not applicable If you lose the rabbit, what will you do to find him or her? Amy's Bunny Barn Adoption Policies Please confirm you have reviewed all of the below Amy's Bunny Barn Adoption Policies: Adult Primary Caregiver: The rabbits primary caregiver must be an adult. The adult must be responsible for ensuring all their needs are being met and their space is kept clean. Amy’s Bunny Barn does not adopt rabbits to be classroom pets or group ownership. * I confirm Indoor Housing: All rabbits adopted from Amy’s Bunny Barn must live indoors and be considered a part of the family. We do not allow adoption of bunnies for outdoor living. However, in certain special circumstances, exceptions may be made such as if the adopter has an attached garage or a second dwelling on the property that is used as an office or family room. * I confirm Returns: If you need to return a rabbit adopted from Amy’s Bunny Barn, we ask for 2-4 weeks’ notice, so we can have a space available to accommodate their return. Please note that rabbits adopted from Amy’s Bunny Barn must be returned to us and cannot be re-homed elsewhere. If you have adopted a bonded pair, both rabbits must be returned together. * I confirm Medical Care: If your rabbit becomes ill you are required to address the issue by bringing them to a rabbit savvy veterinarian. In case you are unable to provide the required care, we request you to return the rabbit to Amy’s Bunny Barn, where we will ensure the rabbit receives the necessary treatment. If you have adopted a pair and one rabbit falls ill and you are unable to provide the required medical care, it is mandatory to return both rabbits to Amy’s Bunny Barn. I confirm RHDV/RHDV2 - Rabbit Hemorrhagic Vaccine: Vaccination of all rabbits in the household for RHDV is required to bring home an Amy’s Bunny Barn rabbit for bonding/adoption. * I confirm Your comments or questions: Is there anything else you would like to tell us or that you would like us to know about your family? Signature * I hereby certify that all the information on this application is true, and I understand that false information may void this application and any future applications. I also understand that failure to comply with future requirements, such as spaying or neutering, could result in my inability to foster/adopt more animals from this organization. Thank you!
