Please complete the form each time your glider has a seizure. All personal information will be kept confidential, per the SUGAR Group's confidentiality policy.
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Please complete all fields as completely as possible
Glider's color (choose one)
Het for Leucistic
Het for Creamino
Het for platinum
Male - Intact
Male - Neutered
Date of Seizure
Time of day of Seizure
Describe circumstances just prior to the seizure (what was the glider doing before the seizure?)
Length of seizure (in minutes)
Indicate which of the following the glider exhibited during the seizure (choose all that apply)
Glider became limp
Clonic/Tonic (twitching) movements
Glider became stiff
Foam at the mouth
If "other" behavior was noted, please describe
Length of postictal stage (time that glider was "off" after seizure) - in minutes
Indicate which of the following the glider exhibited during the postictal stage (choose all that apply)
Climbs into pouch to rest
circle top of cage
If "other" is noticed during postictal stage, please describe
What did you give the glider to eat/drink after the seizure?
What had the glider had to eat before the seizure?
How long before the seizure had the glider eaten?
Was the glider dehydrated prior to the seizure?
Where did the seizure occur? (in cage, play room, bonding pouch, etc)