Rabbit Adoption Survey

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JotForm ID
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Name* This field is required.
First Name
Last Name
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Age Range* This field is required.
18-20
21-25
26-35
36-59
60+
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Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Street Address
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City
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State
CA
Please Select
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
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Zipcode
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Cell Phone:* This field is required.
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E-mail:* This field is required.
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Sign Up for Email Updates
Yes, please!
No, thanks!
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Email Subscription Status
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Email me about:
Fetch! Newsletter
Newly Available Animals
Community Events
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Email Interest #1
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Email Interest #2
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Email Interest #3
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Are you interested in a specific rabbit(s)?* This field is required.
Yes, I have one (or more) in mind.
No, open to the right fit.
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Name of the rabbit(s) you are interested in:* This field is required.
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What statement best describes your experience with rabbits?* This field is required.
I've never had a rabbit
I've had a rabbit but it has been over a year
I have had a rabbit in the last year but no longer have one
I currently have one or more rabbits
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I would describe my household as:* This field is required.
A place with constant activity and noise
Sometime noisy, sometimes quiet
Quiet and calm most of the time
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My rabbit must be good with:* This field is required.
Cats
Dogs
Rabbits
Kids
Other
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When I am at home my rabbit will be:* This field is required.
In the garage
Outside or in the yard
In a crate in the house
Confined to one room or area
Loose in the house
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When I am not at home my rabbit will be:* This field is required.
In the garage
Outside or in the yard
In a crate in the house
Confined to one room or area
Loose in the house
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I'd prefer a rabbit that:* This field is required.
All the time
Sometimes
N/A
Interacts with house guests
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Likes to be by my side
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Enjoys being held
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Enjoys being with children
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Is playful and active
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Is vocal and/or talkative
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Can adjust to new situations
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Interacts with house guests
Likes to be by my side
Enjoys being held
Enjoys being with children
Is playful and active
Is vocal and/or talkative
Can adjust to new situations
All the time
Row 0, Column 0
Sometimes
Row 0, Column 1
N/A
Row 0, Column 2
All the time
Row 1, Column 0
Sometimes
Row 1, Column 1
N/A
Row 1, Column 2
All the time
Row 2, Column 0
Sometimes
Row 2, Column 1
N/A
Row 2, Column 2
All the time
Row 3, Column 0
Sometimes
Row 3, Column 1
N/A
Row 3, Column 2
All the time
Row 4, Column 0
Sometimes
Row 4, Column 1
N/A
Row 4, Column 2
All the time
Row 5, Column 0
Sometimes
Row 5, Column 1
N/A
Row 5, Column 2
All the time
Row 6, Column 0
Sometimes
Row 6, Column 1
N/A
Row 6, Column 2
1 of 7
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I'd like a rabbit that can be alone
More than 9 hours per day
4-8 hours per day
Less than 4 hours per day
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I am open to:
an older rabbit
a rabbit with special needs (behavioral or medical)
a rabbit who has a buddy (ex. siblings or bonded pair)
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My rabbit's nails will be maintained by:
Trimming his/her nails
Going to a pet groomer
Don't Know
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Additional comments or notes:
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How did you hear about us?
Search Engine (Yahoo, Google, etc.)
Weekly Adoption Updates
Social Media
Outreach Event
Recommended by a friend or colleage
Radio/T.V.
Newspaper/Magazine
Other
Should be Empty: