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| Your name: | (required) |
| Your email: | (required) |
| Your country: | |
| Rat name or ID: | |
| Rat date of birth (day, month, year): |
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| Rat date of death (day, month, year): |
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| Or accurate lifespan: | months |
| Gender: |
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If your rat was neutered, at what age was it done?: |
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| Was your rat bred from?: |
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| What colour was your rat?: | |
| What markings did your rat have?: | |
| What coat type did your rat have?: | |
| What ear type did your rat have?: | |
| Where did you get your rat from?: | |
| How old was your rat when you got him or her?: | |
| On a scale of 1 to 10, what was your rat's build?: | |
| What was your rat's weight at 3 months, if known?: | grams |
| What was your rat's weight at 12 months, if known?: | grams |
| What type of dry mix did your rat have for most of his or her life?: | |
| About how many times a week was your rat given fruit or vegetables for most of his or her life?: | |
| What cage substrate or liner did you use in the base of the cage for most of his or her life?: | |
| On a scale of 1 to 10, what was your rat's attitude to new experience or new toys/objects?: |
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| On a scale of 1 to 10, what was your rat's attitude to you?: |
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| On a scale of 1 to 10, how aggressive was your rat towards people?: |
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| On a scale of 1 to 10, how aggressive was your rat towards other rats?: |
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| On a scale of 1 to 10, how active was your rat at around one year old?: |
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| On a scale of 1 to 10, how often did your rat use a wheel?: |
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| How many mammary tumours did your rat have during his or her life?: |
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At what age was the first tumour noticed?: |
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| What was the cause of death?: | |
| How did your rat pass away?: | |
| Comments: | |
| Are there any other questions you feel should have been included in this survey?: | |
| SUGGESTED QUESTIONS |
| In what size cage group/colony did your rat live for most of his or her life?: |
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| What was the capacity (in no. of rats) of the cage your rat lived in for most of his or her life? (Cage calculator): |
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| On average, how long did your rat spend out of the cage each day? : |
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Thank you very much for your time.
Annette |