Kim Burkard suggested the following questionnaire for the ferret
mortality survey. Works for me. What do you all think?
 
1)   Ferret Name:             ______________________________
 
2)   Birth Date:              __/__/__
 
3)   Age:                     _____ years   _____ months
 
4)   Is the ferret alive?     a) Yes   b) No
 
5)   If deceased, what was the cause of death?: _______________________________
     __________________________________________________________________________
     __________________________________________________________________________
 
6)   Regular vet checkups?    a) Yes  b) No
 
7)   Regularly vaccinated for:
           Rabies?            a) Yes   b) No
           Canine Distemper?  a) Yes   b) No
           Other (explain)    a) Yes   b) No  ________________________________
 
8)   Male or Female?          a) Male   b) Female
 
9)   Spayed or Neutered?      a) Yes   b) No
10)  If yes, at what age?     _____ years   _____ months
 
11)  Descented?               a) Yes   b) No
12)  If yes, at what age?     _____ years   _____ months
 
13)  Medical history. Please include any disease/serious sickness, deafness,
     blindness, tumors, surgeries, allergies, special medications, etc.
     Include the ferret's age where known.:  _________________________________
     _________________________________________________________________________
     _________________________________________________________________________
 
14)  Breeder or farm name(if known) or location of birth:  ___________________
     _________________________________________________________________________
 
15)  Color:  _________________________________________________________________
 
16)  Weight: _________________________________________________________________
 
17)  Companion ferrets?       a) Yes   b) No
 
18)  Living Conditions:       a) outdoors cage   b) indoors - no cage
                              c) indoors cage - 50% or more of the day
                              d) indoors cage - 49% or less of the day
 
19)  State/Country lived in:  ________________________________________________
 
20)  Ate what food(s) (list brands where possible)?  _________________________
     _________________________________________________________________________
 
21)  Other: __________________________________________________________________
     _________________________________________________________________________
     _________________________________________________________________________
 
 
Notes:
 
1) Approximate all dates and ages if the actual is unknown.
2) Enter dates in mm/dd/yy format, where mm=2 digit month, dd=2 digit day,
   and yy=2 digit year
[Posted in FML issue 1157]