Spay Neuter Questionnaire Name * First Name Last Name Email * Phone * (###) ### #### Preferred method of contact? * Phone call Email Text Where are you located? * How many animals do you have? * Types of animals * Dogs Cats Other Are they pets or ferals/strays? * Pets Ferals/Strays Ages of Animals * Names of Animals * Breed/Breeds * Do your animals have any health conditions (including being in heat/pregnant)? * Approximate weights of animals * If unsure, please answer underweight, average or overweight, to the best of your knowledge Color * Are you on public assistance? * Yes No Do you have a fixed income? * Yes No Are you disabled? * Yes No Are you a veteran? * Yes No Are you an enrolled member of a federally recognized tribe? * Yes No Thank you!