Rabies Prevention Survey 🐾
Please fill out this survey to help us understand rabies prevention practices in your community.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Have you vaccinated your pets against rabies?
*
Please Select
Yes
No
Not Sure
How often do you take your pets for rabies vaccination?
Please Select
Annually
Bi-Annually
When needed
Never
Are you aware of rabies symptoms in animals?
*
Please Select
Yes
No
Somewhat
Have you encountered any animals exhibiting rabies symptoms?
Please Select
Yes
No
Unsure
What preventive measures do you follow for rabies?
*
Vaccinating pets
Avoiding wild animals
Reporting stray animals
Other
If you selected 'Other' in the previous question, please specify.
Are you aware of the protocol if bitten by an area animal?
*
Please Select
Yes
No
Partially
I agree to participate in rabies awareness programs.
1
I agree
Submit
Should be Empty: