Survey - Microchip Scanner Use FOLLOW UP Questionnaire

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Question - Required - Volunteer or organization name

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Question - Required - Please fill in the date that the scanner was used.

Month

Day

Year

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Question - Required - Finder name

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Question - Required - What type of animal did you scan?

Dog

Cat

Other

Question - Not Required - If you selected "other," please provide the type of animal you have scanned.

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Question - Required - Final outcome

	Reunited via microchip at later time
	Reunited via ID tag
	Reunited via license
	Reunited via flyers/word of mouth
	Reunited via social media
	Brought to shelter after 24-48 hours
	Other

Question - Not Required - Time logged

Question - Not Required - Please share any additional information here