CAT ADOPTION SURVEY Staff Use Only
Thank you for your interest in adopting a shelter cat!
Name: Spouse’s Name: Date:
Address: City: State: Zip:
Email: Phone 1: Phone 2:
Are you over 18 years of age? Yes No Have you adopted from Kent County Animal Shelter before? Yes No
1. Please list household members:
2. Do you rent or own? RENT OWN If renting, please list land lord name/phone:____________________
3. Please list all pets currently living at your home:
What qualities are you looking for in a new pet? Please check all that apply!
Comfortable with children ages:__________________
Good with shy cats Good with outgoing cats Good with active, playful dogs Good with mellow dogs
Can be alone 4 hours Can be alone 8 hours Can be alone 12 hours
Primarily indoors Indoor/Outdoor Primarily outdoors
Not declawed Front-paw declawed All-four-paw declawed
Independent Cuddly/affectionate Lap cat Outgoing Quiet
Mellow Good mouser/rodent control
Please CIRCLE any topics you may have questions about or would like to discuss with us today.
Litterbox 101- very important! Scratching behavior Indoors vs. outdoors Preventing fleas and other parasites
Introducing to other pets Cats and children Exercise/interactive playtime recommendations
Microchipping Annual vaccinations Other____________________________________
Would you like for us to contact your veterinarian to ensure that your current pets are appropriately vaccinated and protected
before bringing a new pet home? (Only rabies vaccination and licensing are required for dogs but we will gladly advise you on
appropriate considerations for your household.) Yes No Your Veterinary Clinic:_____________________________
Approved Initials_____
Pending Memo Y/N
