Please note: Were serve the right to deny any applicant
Page 1 of 4
pamvandervoort@gmail.com
951-616-4926
A D O P T I O N
Q U E S T I O N N A I R E
Cat(s) Of Interest:
Legal Full Name:
Street Address:
City, State &Zip:
Home phone:
Cell phone:
Email:
Occupation:
Driver's License or
States ID:
State
issued:
Please list all
humans (&their
ages) currently
residing in your
home:
Do you own or rent?
If you rent, please provide the name
and phone number of the landlord,
so we may contact them regarding
your having a cat(s)living in your unit
Do you live in a condor have a home owner's
association?
If yes, do they have any restrictions on the type or
number of pets you can have?
Do you or your family have any plans for moving in
the near future?
Please note: Were serve the right to deny any applicant
Page 2 of 4
pamvandervoort@gmail.com
951-616-4926
A D O P T I O N
Q U E S T I O N N A I R E
Do you currently have any other
pets?
If so, please list, what type (ie, cat,
dog, bird) and what age they are:
If you have had pets in the past,
where are those pets now?
Do you have a local veterinarian?
If so, please provide us with their
name, hospital name and phone
number :
If you are new to this area, please
provide us with the same
information regarding your previous
veterinarian:
Please note: Were serve the right to deny any applicant
Page 3 of 4
pamvandervoort@gmail.com
951-616-4926
A D O P T I O N
Q U E S T I O N N A I R E
Why do you want to
adopt a cat(s)?
(Check all that apply)
Children
Companionship for you, your spouse, or partner
Gift
Rodent deterrent
Companionship for other pets
Where would the cat live?
Indoor only Indoor-outdoor Outdoor only
What are your feelings about
declawing cats or kittens?
Please answer the following questions regarding how you would handle each situation listed
Who would care for your
pets if you travel or vacation?
If you could no longer keep
your pet, what would you do?
What circumstances would
make you consider giving up
your pet?
If you had to move, either
locally or out of state, what
would most likely happen to
the pet?
Currently, on a work or
school day, how long would
the cat(s) be alone?
What would you do if the cat
was destroying furniture due
to clawing activity?
What would you do if the cat
began inappropriately
urinating around the home?
What would you do if a
spouse or child became
allergic to the cat?
Please note: Were serve the right to deny any applicant
Page 4 of 4
pamvandervoort@gmail.com
951-616-4926
A D O P T I O N
Q U E S T I O N N A I R E
What types of food do you
currently feed your existing
pets? If no current pets, what
have you fed your cat
(in particular) in the past?
To provide basic care such as
food, litter (possible flea
treatments) costs can run at
least $60 per cat, per month.
This is before veterinary care,
for Which a visit alone can
cost $65. Do you feel you are
in the position to make this
type of financial commitment
in adopting a cat even
though cats may live to18-20
years of age?