Lost Animal Questionnaire 2023

Animal Information
Pet Name *
Collar	Yes No
Color of collar
Sex *	Male Female
Neutered/Spayed	Yes No Unknown
Microchipped	Yes No
Microchip Number
Age *
Species	Cat Dog
Breed	Abyssinian Affenpinscher Afghan Hound Airedale Terrier Akita Alaskan Malamute American Bulldog American Bully American Curl American Eskimo American hairless terrier American Staffordshire Terrier American Water Spaniel American Wirehair Anatolian Shepherd Australian Cattle Dog/Blue Heeler Australian Kelpie Australian Shepherd Australian Terrier Basenji Basset Hound Beagle Bearded Collie Beauceron Bedlington Terrier Belgian Shepherd Dog Belgian Shepherd Laekenois Belgian Shepherd Malinois Belgian Shepherd Tervuren Bengal Bernese Mountain Dog Bichon Frise Black and Tan Coonhound Black Mouth Cur Black Russian Terrier Bloodhound Blue Heeler Bluetick Coonhound Border Collie Border Terrier Borzoi Boston Terrier Bouvier des Flanders Boxer Boykin Spaniel Briard Brittany Spaniel Brussels Griffon Bullmastiff Bull Terrier Cairn Terrier Cane Corso Mastiff Carolina Dog Catahoula Leopard Dog Cattle Dog Cavalier King Charles Spaniel Chesapeake Bay Retriever Chihuahua Chinese Crested Dog Chocolate Labrador Retriever Chow Chow Clumber Spaniel Cocker Spaniel Collie Coonhound Corgi Dachshund Dalmatian Dandi Dinmont Terrier Danish sweetish farmdog (jrt) Doberman Pinscher Dogo Argentinian Dogue de Bordeaux Domestic Long Hair Domestic Medium Hair Domestic Short Hair Double doodle Dutch Shepherd English Bulldog English Cocker Spaniel English Coonhound ENGLISH MASTIFF English Pointer English Setter English Shepherd English Springer Spaniel Feist Hound Field Spaniel FILA BRASIERO Finnish Spitz Flat-coated Retriever FLORIDA BROWN DOG Foxhound Fox Terrier French Bulldog German Pinscher German Shepherd Dog German Shorthaired Pointer German Wirehaired Pointer Golden Retriever Gordon Setter Great Dane Greater Swiss Mountain Dog Great Pyrenees Greyhound Havanese Himalayan Hound Husky Ibizan Hound Irish Setter Irish Terrier Irish Water Spaniel Irish Wolfhound Italian Greyhound Italian Spinone Jack Russell Terrier Japanese Chin JINDO Keeshond Kerry Blue Terrier Komondor KOOLIE Kuvasz Labrador Retriever Lakeland Terrier Lancashire Heeler Leonberger Lhasa Apso Long haired Chihuahua Löwchen Maine Coon Malamute Maltese Manchester Terrier Maremma Sheepdog Mastiff Miniature Pinscher Miniature Schnauzer Mixed Mixed Munchkin Neapolitan Mastiff Newfoundland Dog Norfolk Terrier Norwegian Elkhound Norwich Terrier Nova Scotia Duck-Tolling Retriever Old English Sheepdog Otterhound Papillon Parson Russel Terrier Pekingese Persian Peruvian Inca Orchid Petit Basset Griffon Vendeen Pharaoh Hound Pit Bull Terrier Plott Hound Pointer Pomeranian POODLE, MEDIUM POODLE, MINIATURE POODLE, STANDARD POODLE, TOY Portuguese Water Dog Presa Canario Pug Puli Ragdoll Rat Terrier Redbone Coonhound Red Heeler Rhodesian Ridgeback Rottweiler Saint Bernard Saluki Samoyed Schipperke Schnauzer Scottish Deerhound Scottish Fold Scottish Terrier Scottie Sealyham Terrier Shar Pei Shepherd Shetland Sheepdog Sheltie Shiba Inu Shih Tzu Siamese Siberian Husky Silky Terrier Skye Terrier Smooth Fox Terrier Spaniel Sphynx (hairless cat) Springer Spaniel Staffordshire Bull Terrier Terrier Thai Ridgeback Tibetan Mastiff Tibetan Spaniel Tibetan Terrier Toy Fox Terrier Treeing Walker Coonhound VICTORIAN ENGLISH BULLDOG Vizsla Walker Hound Weimeraner Welsh Corgi Welsh Springer Spaniel Welsh Terrier West Highland Terrier Wheaten Terrier Whippet Wire-haired Pointing Griffon Wirehaired Terrier Wire- Hair Fox terrier Xoloitzcuintle/Mexican Hairless Xoloitzcuintli Yellow Labrador Retriever Yorkshire Terrier Yorkie
Color *	Apricot Black Black & Brown Black, Brown & White Black & Cream Black & Gray Black, Gray & Orange Black Merle Black & Orange Black, Orange & White Black & Silver Black Smoke Black Tabby Black & Tan Black & White Blonde Blue Blue Brindle Blue & Cream Blue & Fawn Blue Fawn & white Blue Merle Blue merle and white Blue Point Blue Tick Blue & White Brindle Brindle and White Brown Brown & Black Brown, Black & Orange Brown, Black & White Brown & Gray Brown Tabby Brown & Tan Brown & White Buff Buff & White Calico Chocolate Chocolate Merle Chocolate, Tan, & White Chocolate & White Cream Cream & Brown Cream, Gray & Orange Cream Point Cream & Silver Cream & White Dilute Calico Dilute Torti Fawn Fawn & Black Fawn & White Ginger Ginger & White Gold Gold & White Gray Gray & Black Gray & Brown Gray Cream Gray & Cream Tortie Gray, Cream & White Gray Dapple Gray Merle Gray, Orange, Black & White Gray & White Lemon & White Lilac Point Liver Liver & White Multi Oat Orange Orange & Black Orange & White Patch Tabby Piebald Red Red & Black Red & Brown Red Merle Red Sable Red & Tan Red & White Sable Siamese Silver Silver & Black Silver & Tan Slate Smoke Tabby Tan Tan & Black Tan & Brown Tan & White Tan, White & Black Tortie Unknown Wheat White White and Fawn White & Black White, Black & Brown White & Brown White & Buff White, Gray & Black White, Gray & Orange White & Grey White & Lemon White & Lemon White & Liver White & Orange White, Orange & Black White & Red White & Tan Wild Boar Yellow Yellow & Grey Yellow & White
Markings or distinguishing features
Date Lost *
Area Lost *
Name and Address
First name *
Last name *
Address *
Postcode *
Home Tel
Mobile
Pet Photo
Comments