Frog Mortality Questionnaire
If you have seen dead or ill frogs or toads, please complete the following questions and email, the form to us, by clicking on the "submit" button.
Name:
Address:
City:
Country:
Post code:
E-mail Address:
Phone:
Fax:
Date:
1. What species of frog, and approximately how many, were found ill or dead?
2. In what months and years did the deaths occur?
3. How has the population been effected by the deaths?
No frogs left
Less frogs
No difference
4. Did you notice deaths in other animals eg. fish, cane toads?
(
name animals
)
5. Are there other frog species, cane toads or fish present which have not been involved in the die off?
(
name species
)
6. Describe any unusual behaviour in the sick frogs.
(
eg, lethargy, convulsions, sitting out in the day
)
7. Describe any unusual appearance of the frogs.
(
eg, red skin on belly, ulcers, scars, thin, red spots
)
8A. Were eggs observed ?
Yes
No
8B. Were the eggs dead or alive?
Dead
Alive
9. Have tadpoles been present during the time of deaths?
Yes
No
10. Were tadpoles found dead or sick?
Yes
No
(
If yes, estimate proportion affected.
)
11. Have tadpoles survived and metamorphosed?
Yes
No
12. Is the property in an urban, suburban, farmland or native bush setting?
13. Have you or your neighbours used pesticides/herbicides/fertilisers etc?
(
Name brands and when they were applied
)
COMMENTS:
Options at this point:
To email the form to Dr Lee Berger, click the "Submit" button.
To modify your comments. use the up arrow and go to fields that you want to change, and then submit.
To clear form, click the "Clear" button.
[
Back to Amphibian Diseases Home Page
] [
Back to options page for questionnaire
]