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* 1. What pet(s) have been upset by fireworks on this occasion

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* 2. How many animals were upset by fireworks on this occasion?

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* 3. When did this occur?

Date
Time

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* 4. How long did it last?

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* 5. Were you informed of the firework event that has caused the issue?

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* 6. Were the animal(s) indoors or outside at the time of the incident/report?

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* 7. Was an animal injured during the incident?

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* 8. Please give details of what occurred such as what happened, how the animal reacted, behaviour, any injuries, any precautions in place and action taken and any further helpful information

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* 9. Where did the incident/report occur?

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* 10. Have you completed the Full Firework Survey 2025 https://www.surveymonkey.com/r/5X397HW

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