Reptile Information Sheet

Client Information

First Name

Last Name

Contact Email

What bedding materials do you place in the tank?

What type of bulb is being used?

UVA

UVB

Is there a screen or glass between the light and inner tank?

Yes

Which one is it?

How far is the light source from the bottom of the tank in inches?

Is there a thermometer in the tank?

Yes

What kind?

What is the average temperature in the warmest part of the tank?

What is the average temperature in the coldest part of the tank?

What comprises the complete diet fed? Please include any supplements, vitamins and medications?

What chemicals are used to clean the tank?

How often is the tank cleaned?

Do you have a schedule of lighted hours?

How many lighted hours? How many dark hours?

Do you have a nighttime heat lamp?

Do you an under tank heater or a heat rock?

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