Reptile Husbandry Form Reptile Husbandry Form Owner's Name * Owner's Name First First Last Last Email * Date * Pet Name * Species/Breed * Age / D.O.B * Pet’s Color * Sex * Male Female Unsure How long have you owned your reptile? * Where was your reptile acquired? * Approximate age of your reptile * What type of cage is your reptile housed in? * Dimensions * What type of substrate is on the bottom of the cage? * How often is substrate changed/cleaned? * Daily Weekly Monthly What type of cleaning chemical is used? * What type of cage accessories are in the cage? * What temperature is the inside of the cage kept? * What humidity level is the inside of the cage? * What is the heat source? * Is there a UVA/UVB light present? * Yes No Date of purchase? * What do you feed your reptile? * How much do you feed? * How often do you feed? * Of the food you offer, what does your reptile consume? * Do you supplement calcium? * Yes No What type of calcium product do you use? * What type of water source is used? * What type of water source is used? * How often is water changed? * Have any reptiles in the house been sick or expire in the last year? * Yes No How many have died? * What types? * If known, from what diseases? * LIST OTHER AVIAN OR EXOTIC BREEDS YOU HAVE AT HOME Pet’s Name Breed Age Sex plus1 Add another pet minus1 Remove a pet Captcha Submit If you are human, leave this field blank.
