Your name: Bunny's name:
Your email address:

1. How old is the bunny?
If she has passed on, how old was she?

2. Is/was the bunny spayed (also include here those bunnies who have had a hysterectomy following a diagnosis of cancer)? (if no, skip to #6)

3. How old was she when the spay was performed?

4. Was there evidence of cancer or precancerous growths at the time of the spay?
If yes, please explain:

5. Were there complications during/after the spay?
If yes, please explain:

6. If the bunny has passed on, what was the cause of death?

7. What breed is she?

8. How is/was her overall health?

9. Does/did she live indoors or outdoors?

10. What type of food does/did she eat?

11. Is/was she around other bunnies?

12. Did she ever have a false pregnancy?

13. Has she been bred?

14. Include any additional information that you feel might be useful: