Please place a 1 for "excellent", a 2 for "acceptable" or a 3 for "improvement needed" next to each item. Items marked with a 3 must be addressed in the problem and planning section.

Farm Maintenance/upkeep:
_____Fresh, clean water
_____Evidence of adequate supply of pasture or hay (moldy hay is not acceptable)
_____Diet or supplementation appropriate to body score
_____Clean feeding area
_____Mineral salt

Llama Condition-list date and type:
#1_____________ #2______________ #3______________ #4_____________
Body score (1-10)___________________________________________________________
Toenails___________________________________________________________________
Shearing____________________________________________________________________
Teeth_______________________________________________________________________
Vaccinations________________________________________________________________
Rabies______________________________________________________________________
Annual______________________________________________________________________
De-worming__________________________________________________________________
Fecal check_________________________________________________________________
Other_______________________________________________________________________
Evidence that veterinary care has been provided if needed Explain:_______________________________

Please list each item rated a 3 below with specific detail, followed by how it will be addressed and the deadline for completion. ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

Next review:___________________________
signature of SELR volunteer mentor/peer:________________________________ Date:______
signature of caretaker:______________________________________ Date:______

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