Lost Animal Questionnaire
Date Lost
Area Lost
Age Group
0 - 6 Months
6 Months - 8 Years
8 Years and over
Actual Age
Sex
Male
Female
Species
Cat
Dog
Breed
Airedale
Akita
Alaskan Malamute
American Bulldog
American Eskimo Dog
American Staffordshire Terrier
Australian Cattle Dog/Blue Heeler
Australian Shepherd
Australian Terrier
Basenji
Basset Hound
Beagle
Bearded Collie
Bernese Mountain Dog
Bichon Frise
Black and Tan Coonhound
Black Labrador Retriever
Black Mouth Cur
Bloodhound
Blue Heeler
Bluetick Coonhound
Border Collie
Border Terrier
Boston Terrier
Boxer
Brittany Spaniel
Brussels Griffon
Bullmastiff
Bull Terrier
Bully Mix
Bunny Rabbit
Burmese
Cairn Terrier
Canary
Catahoula Leopard Dog
Cattle Dog
Cavalier King Charles Spaniel
Chesapeake Bay Retriever
Chihuahua
Chinchilla
Chinese Crested Dog
Chocolate Labrador Retriever
Chow Chow
Cockapoo
Cockatiel
Cockatoo
Cocker Spaniel
Collie
Corgi
Dachshund
Dalmatian
Doberman Pinscher
Dogue de Bordeaux
Domestic Long Hair
Domestic Medium Hair
Domestic Short Hair
Duck
Dutch
English Bulldog
English Setter
Ferret
Ferret
Finch
Fish
Flat-coated Retriever
Flemish Giant
Foxhound
Fox Terrier
French Bulldog
French-Lop
Gerbil
German Shepherd Dog
German Shorthaired Pointer
German Wirehaired Pointer
Golden Retriever
Gordon Setter
Great Dane
Greater Swiss Mountain Dog
Great Pyrenees
Greyhound
Guinea Pig
Hamster
Hedgehog
Heeler
Heeler
Himalayan
Hound
Husky
Iguana
Irish Setter
Irish Water Spaniel
Irish Wolfhound
Italian Greyhound
Jack Russell Terrier
Jersey Wooly
Keeshond
Kerry Blue Terrier
Labrador Retriever
Labrador Retriever
Labrador Retriever Mix
Lhasa Apso
Lionhead
Lizard
Lop Eared
Lovebird
Maine Coon
Maltese
Mastiff
Miniature Pinscher
Mixed
Mountain Dog
Mouse
Newfoundland Dog
Old English Sheepdog
Papillon
Parakeet (Other)
Parrot (Other)
Pekingese
Persian
Pit Bull Terrier
Plott Hound
Pointer
Pomeranian
Poodle
Pot Belly Pig
Pug
Ragdoll
Rat
Rat Terrier
Redbone Coonhound
Retriever
Rex
Rhodesian Ridgeback
Rottweiler
Russian Blue
Samoyed
Schnauzer
Scottish Terrier
Setter
SharPei
Sheep Dog
Sheltie
Shepherd
Shiba Inu
Shih Tzu
Siamese
Siberian
Siberian Husky
Snake
Spaniel
Springer Spaniel
Staffordshire Bull Terrier
St. Bernard
Terrier
Treeing Walker Coonhound
Turtle
Vizsla
Weimaraner
Welsh Corgi
West Highland White Terrier Westie
Wheaten Terrier
Whippet
Yorkshire Terrier Yorkie
Colour
Apricot
Black
Black and Brindle
Black and Brown
Black and Tan
Black and White
Black/Grey Blend
Blue
Blue Steel
Brindle
Brindle and Black
Brindle and White
Brown
Brown and Black
Brown and Tan
Brown and White
Buff
Buff and White
Calico
Chestnut
Chinchilla Grey
Chocolate
Cream
Cream/Black Blend
Dilute Calico
Dilute Torti
Fawn and Black
Flame Point
Ginger
Ginger and White
Golden
Green
Grey
Grey and White
Grey Tabby
Liver
Liver and White
Merle
Orange
Orange and White
Orange Tabby
Red
Red and White
Rust
Seal Point
Silver
Tabby
Tabby and White
Tan
Tan and Black
Tan and Brown
Tan and Cream
Tan and White
Torbie
Torti
Torti and White
Torti Tabby
Tricolor
Unknown
Various
White
White and Black
White and Brindle
White and Brown
White and Grey
White and Liver
White and Tabby
White and Tan
White and Torti
White with Calico Spots
Yellow
Yellow and Grey
Markings or distinguishing features
Features
Microchipped
Yes
No
Neutered
Yes
No
Collar
Yes
No
Colour of collar
Name
Name and Address
Title
Mr
Mrs
Ms
Miss
First name
Last name
Address
Postcode
Home Tel
Mobile
Comments