Your name:________________________________________ Phone:____________________________________________
Your e-mail address:_________________________________ Age: ____________
1. Have you ever cared for a cat before?________If so, for how long? __________
2. Is anyone living in your house allergic to pets? __Yes __No __Not sure
3. Do you have children? ______# under 5; _______ between 5 & 12; _______# over 12
4. Tell us about the pets you currently have at home:
How many other animals live in your home? ________
Have they been Spayed/Neutered? __________ Are they current on vaccinations? _______
How long have they been with your family?___________ Are your cats de-clawed? ________
5. Who is your veterinarian?________________________
6. Have you lost a pet in the last year?______ If so, what happened? ___Ran away ___ injured/killed ___illness ___ old age ___other:____________________________
7. Have you relinquished an animal in the last 5 years? ______If so, what were the circumstances?__Moving ___divorce ___new baby __allergies __behavior problem __too many pets __financial costs __lack of time to care for pet ___other:_________________________
8. Would this animal live… _____ Outdoors _____ Indoors _____ Indoor/Outdoor
9. Could your occupation require moving? _______ If so, what is your plan for pets?
___________________________________________
10. What type of training do you see this cat possibly needing? __________________________________________
Who will provide that training? _________________
11. What type of behavior is unacceptable to you/your family? __________________________________________
How would you deal with such behavior if it should occur? __________________________________________
12. Do you plan on de-clawing your cat? ___Yes ___No ___Not Sure
13. Do you currently have (or plan to get) a “doggie door?” ___Yes ___No
14. What circumstances would require you to return or give up the pet?
___ Moving ___ Allergies ____ Change in Marital or Relationship Status ___ Destructive Behavior ___ New Baby ___ Kids Not Taking Care of Pet ___ House-training issues ___ Aggressiveness ___Vet Bills ___Health Issues ___Other
15. Do you ___Rent/Lease your home ___Own home
Renters: Are you fully aware of all pet policies & prepared to pay all required pet deposits?_______ (A copy of your lease agreement & pet policies may be requested.)
