Feeding questionnaire - Ontario Rabbit Education Organization

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Feeding questionnaire

The dietary needs and concerns of rabbits are an important area of interest for our organization. While we realize every rabbit requires a different diet for optimum health, we would like to try to learn more on this subject, with your help. We ask that visitors to our web site take a moment to fill out our Feeding Questionnaire. We hope the information you provide will help us continue to present dietary information to rabbit owners, and perhaps enable us to learn more about various digestive ailments. We will be accepting feedback from the questionnaire until Janury 31, 2006. We hope to compile the information and display findings and statistics on our web site at a later date.

Thank you for your participation.

The Ontario Rabbit Education Organization

Please complete one form for each of your rabbits.

General information about your Rabbit:

1.Age:	years
2. Weight:	pounds
3. Breed:
4. Sex	male	female
5. Is your rabbit spayed/neutered?	yes	no

6. How would you describe your rabbit's weight:

	underweight
	just right
	overweight

7. How would you describe your rabbit's overall health:

	good
	some minor problems
	bad

Feeding:

Hay:
8. Does your rabbit have access to hay all the time?

	yes
	no

9. How much hay does your rabbit eat daily?

	my rabbit doesn't eat hay
	half a handful
	a handful
	a couple of handfuls
	more

10. What type of hay does your rabbit eat?

	only alfalfa
	only timothy hay
	both alfalfa and timothy hay
	mixed grass hay (no alfalfa)
	other (name)

Vegetables:

11. Does your rabbit eat fresh vegetables?

	yes
	no

12. What amount of vegetables per day do you feed your rabbit?

	a small handful
	a small salad bowl (like for one person)
	dinner plate full
	more

13. How many varieties daily?

	one
	two
	three
	more
	varies

14. What vegetables do you feed your rabbit:

	root vegetables (names)
	green leafy vegetables and herbs (names)

15. Do you feed your rabbit dried vegetables?

	yes
	no

Fruit:

16. Do you feed fresh fruits to your rabbit?

	yes If yes, how often? daily weekly once or twice per month less often than once per month
	no

17. What kind of fresh fruits do you feed?

18. Do you feed dried fruits to your rabbit?

	yes If yes, how often? daily weekly once or twice per month less often than once per month
	no

19. What kind of dried fruits do you feed?

Pellets:

20. Do you feed your rabbit pellets?

	yes
	no

21. What type?

	alfalfa
	timothy hay based
	pellets mixed with grains and dried vegetables
	mix of timothy and alfalfa pellets

22. What brand do you offer right now? (name)

23. How many times daily do you offer pellets?

	once
	twice
	available all time

24. What amount of pellets do you offer daily (give the combined amount from all feedings)?

	1/8 cup
	1/4 cup
	1/2 cup
	more (describe how much)
	I don't know how much

25. Did you ever switch one brand for another brand?

	yes If yes, describe why:
	no

26. Did your rabbit have digestive problems after consuming a specific brand?

	yes Please, describe the problems:
	no

Treats:

27. Does your bunny eat commercial treat foods for rabbits?

	yes
	no

28. What type?

	Yogurt drops
	honey sticks
	crunchy puffs
	other

29. How often?

	daily
	2-3 times per week
	weekly
	2-3 times per month/once per month
	less than once per month

30. Does your bunny eat natural treats other than dried fruit?

	oats
	dried herbs
	dried branches (e.g. willow, apple etc)

31. Do you feed your bunny any of the following:

A. bread		often
		rarely
		never
If often or rarely, did this food cause any digestive problems?

B. cereal		often
		rarely
		never
If often or rarely, did this food cause any digestive problems?

C. potato or corn chips		often
		rarely
		never
If often or rarely, did this food cause any digestive problems?

D. chocolate products		often
		rarely
		never
If often or rarely, did this food cause any digestive problems?

E. popcorn		often
		rarely
		never
If often or rarely, did this food cause any digestive problems?

F. dairy (milk, yogurt or cheese)		often
		rarely
		never
If often or rarely, did this food cause any digestive problems?

Drinks:

32. Does your rabbit drink from...

	a bowl,
	a bottle
	or both?

33. Approximately how much does your rabbit drink per day?

34. Do you add fruit juice or other flavour additives to your rabbit's water to encourage water consumption?

	yes If yes, please describe additive and quantity
	no

Digestive problems:

35. Does your rabbit currently have a problem with soft stool?

	yes
	no
	don't know

36.Has your rabbit ever experienced soft stool in the past?

	regularly
	rarely
	never
	don't know

37. Has your rabbit ever had stasis?

	yes
	no
	don't know

38. Did it occur more than once?

	yes
	no

39. Has your rabbit ever experienced a gas episode?

	yes If yes, please describe frequency: less than once per year 1-2 times per year several times per year monthly more often than once per month
	no
	don't know

40. Has your rabbit ever had other digestive problems? Describe

41. Have you ever changed or modified your rabbit diet?

	yes
	no

42.Please choose reason(s) for change:

	baby rabbit reached adulthood
	rabbit reached senior years
	rabbit became ill Describe illness:
	rabbit needed to lose weight
	rabbit needed to gain weight
	learned more about proper rabbit diet
	other

43. Were these changes made at the suggestion of a veterinarian?

	yes
	no

44. Describe your rabbit's diet before and after the change:

before
after

45. Was the change was beneficial?

	yes
	no

Thank you!