Fillable 61b813178580d62a4bffe2a0 Adoption Questionnaire - Cat Updated 2021 Fillable Form

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61b813178580d62a4bffe2a0 Adoption Questionnaire - Cat Updated 2021 Fillable Form

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Why do I need to provide my personal information before meeting an animal?
We request that any potential adopters fill out initial information before meeting an animal, so that our
staff can better serve you and your needs. This information will help us place animals in new homes, and
we ask for your cooperation in the exciting process of bringing your new pet to you.
Name:_________________________________________________
Address:___________________________________
Apt. #:______
City:___________________________
Postal Code:_____________
Phone #:________________________________________________
E-mail:_________________________________________________
ABOUT YOU and YOUR HOME
1. Please select the appropriate age category of the adopter
□ Under 18
□ 61+
2. What best describes your living environment?
□ House
□ Townhome
□ Apartment
□ Condo
Do you:
□ Own □Rent
3. In your house, number of:
Adults (18+): _____
Children: ________ Ages of children: __________
4. Are there other pets in our household?
□Yes
□ No
If Yes - please check the appropriate boxes:
□ Cat(s) □ Dog(s) □ Special species
5. Does anyone in the home smoke? □ Yes □ No
6. Are there any allergies in your home?
□Yes
□ No
7. The cat will be kept:
□ Indoors
□ Outside
□ Both □ Balcony
□ Other:____________________________________
8. What sort of enrichment do you plan to offer your cat?
□ Toys
□ Other animals
□ Scratching post
□ Play time
□ Brushing/Petting
□ Other: _________________
PET CARE
9. Have you had cats before?
□ Yes
□ No
Please list ages and breeds below:
______________________________________________________________
______________________________________________________________
10. Were you the primary caregiver?
□ Yes
□ No
11. Do you have a veterinarian?
□ Yes
□ No
Name of vet:_________________________________________
12. How often should your cat see the vet?
______________________________________________________________
____________________________________________________
13. What is the best diet for your cat?
______________________________________________________________
14. What is your annual budget for medical care of your cat
□ $100-$500
□ $500-$1000
□ $1000-$1500
□ $1500+
15. What methods would you use to help your new cat adjust
to their new home?
______________________________________________________________
______________________________________________________________
______________________________________________________________
____________________________________________________
Cat Adoption Questionnaire
FOR OFFICE USE:
P#:_______________________
How will you address any behavioural challenges should they arise?
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
How will you address any medical challenges should they arise?
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
In order to keep you informed about important campaigns and to ask for support, we will from time to time telephone, email and send mail to
you. If you would prefer not to receive phone calls, emails or mail please check this box □
Applicant signature: ________________________________________ Date: ___________________________________
Thank you for completing this questionnaire.
The information provided will help us to find the best matches to your interests.
TELL US WHAT YOU’RE LOOKING FOR
Sex:
□ Female
□ Male
□ No preference
Age:
□ Kitten
□ Young adult
□ Adult
□ Senior
□ No preference
Energy:
□ Low
□ Moderate
□ High
□ No preference
Coat:
□ Short
□ Medium
□ Long
□ No preference
Type/Breed:
Personality:
IT IS VERY IMPORTANT FOR MY CAT TO… (please check all that apply)
□Be friendly with children
□Be friendly with visitors to the house
□Be playful
□Be friendly with other cats
□Enjoy being held
□Be quiet
□Be friendly with dogs
□Be calm
□Be independent
WHICH OF THE FOLLOWING WOULD YOU BE WILLING TO WORK ON WITH YOUR NEW CAT?
□ Fearfulness of people
□ Fearfulness of other animals
□ Fearfulness of new environments
□ Aggression
□ Litter Box Issues
□ Destructive Behaviours
□ High Energy
□ Separation Anxiety
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61b813178580d62a4bffe2a0 Adoption Questionnaire - Cat Updated 2021 Fillable Form

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Completed 16 December 2021

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