SPCA of Wake County: Survey

Lost Pet Report

Please find lost report below:

*1.

Question - Required - Your First Name:

2.

Question - Not Required - Your Last Name:

3.

Question - Not Required - Street Address:

4.

Question - Not Required - City, State and Zip Code

5.

Question - Not Required - Daytime contact phone number:

6.

Question - Not Required - Cell phone or home contact number:

7.

Question - Not Required - E-mail address:

8.

What kind of pet was lost?

(Select one of the available choices or enter a different value.)
Question - Not Required -

9.

Question - Not Required - Is the pet a mixed breed or purebred?

10.

Question - Not Required - If purebred, what breed? If mixed, what mix?

11.

Question - Not Required - What sex is the pet?

12.

Question - Not Required - Is the pet spayed/neutered?

13.

Question - Not Required - What is the Pet's Name?

14.

Question - Not Required - What date was the pet lost?

Month

Day

Year

15.

Question - Not Required - Age:

16.

Question - Not Required - Weight:

17.

Question - Not Required - What is the size of the lost pet?

18.

Question - Not Required - What is the color of the pet?

19.

Question - Not Required - Length of pet's hair/fur:

20.

Question - Not Required - What would best describe the pet's fur?

21.

Question - Not Required - Was the pet wearing a collar?

22.

Question - Not Required - If yes, list color / description of collar.

23.

Question - Not Required - Was the pet wearing I.D. tags?

24.

Question - Not Required - If yes, then please describe the tag.

(Maximum response 255 chars, approx. 5 rows of text)

25.

Question - Not Required - Is the pet microchipped?

26.

Question - Not Required - Please describe the pet.

(Maximum response 255 chars, approx. 5 rows of text)

27.

Question - Not Required - How was the pet lost?

28.

Question - Not Required - Where was the pet lost?

(Maximum response 255 chars, approx. 5 rows of text)