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

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2. How many animals were upset by fireworks on this occasion? (Required.)

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3. When did this occur? (Required.)

Date
Time

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4. How long did it last? (Required.)

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5. Were you informed of the firework event that has caused the issue? (Required.)

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

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7. Was an animal injured during the incident? (Required.)

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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 (Required.)

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9. Where did the incident/report occur? (Required.)

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

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