Questionnaire

Please help us follow and understand the spread and demographics of RHDV2 in South Africa, by completing this form if you lost any rabbits, or saw any deceased lagomorphs, Data is purely research and this plays a vital role in curbing and protecting our long ears.

Basic Data

Full Names

Phone

Physical Address of Report

Date of first mortality

Date of last mortality

State Vet (SV) confirmed

YesNo

Date of SV Confirmation if applicable

Lagomorphs affected

Indigenous Rabbits / HaresFeral RabbitsBreeding HerdsPet RabbitsRescue Organisation

Total Number of Mortalities

Number of Survivors if any

Total Number of Mortalities

Vaccinated - yes or no

YesNo

Vaccinated Mortalities Amount

Vaccinated Survivors Amount

Post Mortem Symptoms Observed

Ante Mortem Symptoms Observed

Vaccinated - yes or no

YesNo

Visible symptoms on Autopsy

Any Treatments introduced?

Any positive results on treatments?

Feeds Data

Feeds Last Supply Date

Feed - Supplier Location

Hay Last Supply Date

Hay - Supplier Location

Hay - Supplier's source area if known

Transport / Vehicles

Any Deliveries / vehicles in 10 days prior to 1st caseYesNo

If yes, Details from which area / route taken?

Have you had any hot spots / out of province travel in 10 days prior to 1st caseYesNo

If yes, Details from which area / route taken?

Any out of province vehicles in 10 days prior to 1st caseYesNo

If yes, Details on province, route taken and number of days?

People / Staff

Any out of province vehicles in 10 days prior to 1st caseYesNo

If yes, Elaborate please

Staff Movement - Staff not residing on premises / movement in or out of hotspot areasYesNo

If yes, Elaborate please and state area

Feral and Wild Populations

Any mortalities reported / seen in the area before your first caseYesNo

If yes, Details and state area please