Ferret Husbandry Form
All information provided is strictly confidential. Please fill questionnaire to the best of
your knowledge.
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Owner's Full  name *
Date *
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Has anyone in your household travelled outside of PEI in the last 4 weeks? *
Has anyone in your house had any fevers, coughs, nasal congestion, headaches, etc. in the last 4 weeks? *
Is your Ferret (or any other ferrets you own ) having any respiratory symptoms? (running nose, sneezing, coughing, wheezing, changes in breathing patterns)
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Is your ferret ( or any other ferrets you own)  having any symptoms suggestive of a fever? (feels warmer to the touch than normal, is quieter/ sleepier than normal, shivering, loss of appetite)
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Name of Ferret? *
Colour variety *
Sex *
Required
Age *
Length of time owned
Where did you acquire your ferret *
Date of Distemper and Rabies vaccine if known.
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DD
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How often is Ferret handled *
Is Ferret allowed to free roam the house? *
Where is the enclosure located? *
What type and size of enclosure? Attach picture if possible. *
Is there a litterbox in the enclosure? *
How often is the enclosure cleaned? *
What type of disinfectant is used when cleaning the enclosure? *
What brand of litter is used in the litterbox?
Character of the feces. What does the feces look like? Any changes? Attach picture if possible.
What type of furniture in the enclosure?
What type of toys in the enclosure?
What type of food and brand? Attach picture if possible. *
Amount fed and frequency *
What brand of supplements / treats are offered? Attach picture if possible. *
How often is the water changed? *
Water Source *
Required
Any other pets in the house? If yes please specify. *
If you own other pets do they interact with the ferret?
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If you own other ferrets are they housed together or individually?
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Are there any past medical problems? Have previous medical records sent to staff@crossroadsahc.com. *
Current presenting problem? How can we help you? *
Duration of problem(s)? Did symptoms appear suddenly or over time?  
Any other questions or concerns?
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