Lewiston Veterinary Clinic
REPTILES & AMPHIBIANS
EXOTIC ANIMAL HUSBANDRY QUESTIONNAIRE
Please fill in the following details about your pet’s home environment with as much detail
as possible. (circle an answer if applicable &/or fill in the blanks)
Cage details –
Size: ______ x ______ x _______ feet; if an aquarium - ____________ gallons
Material (what is cage made of?):
plastic
metal
wood
glass
plexiglass
other:___________________________________________________________________
Location in home (what room, near any windows, doors, etc): _____________________
________________________________________________________________________
Humidity: __________ Source:
dish for swimming/bathing
misting
humidifyer
other: __________________________________________________________________
Cage average temp:_________ Hottest temperate:__________ Coldest temp:_________
Heat Source (please include # of each type): overhead heat lamp
Hot rock
home heating system
Light source: room lighting
under tank heat pad
Other: ______________________________________
natural light from window
UVA light
UVB light
Hours of daylight vs. dark: daylight - ________________ darkness - _____________
Substrate: (what lines the floor of the cage?):
gravel
corncob
cage carpet
sand (what type?) _________________
wood shavings (what type?)_______________________________
Astroturf
newspaper
paper towels
moss
dirt
other: __________________________________________________________________
Climbing perches and/or Hide boxes (describe shape, size and material):
________________________________________________________________________
________________________________________________________________________
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Lewiston Veterinary Clinic
REPTILES & AMPHIBIANS
Cage cleaning (how often is it cleaned and what is used; include partial cleans vs. full
cleaning events): _________________________________________________________
________________________________________________________________________
Time out of cage (where else does the pet spend time? How often & how long? Degree
of supervision when not confined in cage?): ____________________________________
________________________________________________________________________
Diet –
Food ( list types of each category and amount per day below, if a category is not fed
please write NA): pellets – brand____________________________________________
Insects: crickets meal worms wax worms
butter worms earth worms dried insects
other insects: ____________________________________________________________
Fruit: ___________________________________________________________________
Vegetables: ______________________________________________________________
________________________________________________________________________
Treats or other: ___________________________________________________________
________________________________________________________________________
Vitamins/Supplement (type – brand name or ingredients; how given):
Reptivite
________________________________________________________________________
Dishes: Material - metal
plastic
ceramic other: ________________________
# for food: _______ # for water: ___________ Size: _____________________________
How are the dishes cleaned and how often? ____________________________________
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Lewiston Veterinary Clinic
REPTILES & AMPHIBIANS
How long has this pet lived with you? _______________________________________
Other pets in house hold (number and species): ________________________________
________________________________________________________________________
Any other information you would like to add? ________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Date: _________________ Signature: ________________________________________
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Lewiston Veterinary Clinic
REPTILES & AMPHIBIANS
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