CAT ADOPTION QUESTIONAIRE
To be considered for adoption you must:
The cats available for adoption came here from a variety of sources. All animals are examined by a kennel technician upon entry. Their health is routinely monitored while at the shelter, but there is always a chance that an animal is incubating a disease without showing any clinical signs, particularly due to the stressful environment of the shelter. (Please initial) _________
Yearly vet exams can cost up to $75 a year for cats. Kittens need vaccines and wormings that can cost up to $50 a month for the first four months in your care! (Please initial) ________
Have you adopted from us before? When? ________________________________________________
How long have you been considering adopting a cat? ________________________________________
A cat can live for 10-20 years. Are you able to commit to taking care of this cat for its entire life? _______
What is your past experience with cats? First time owner Have had one or two cats Had a cat as a child Experienced
Personal Information
Name
|
Spouse/Partner/Roommate’s Name
|
County in which you live
|
Home Address |
City/State/Zip |
Home Phone # |
Driver’s License number |
Are you a student?
|
Employer and Work Phone Number |
Ages of all children living in household |
Household Information
Do you live in a: ___ House ___ Apartment _____Trailer ___ Townhouse
Do you _____ Own home _____ Rent ______ Live with parents
Landlord’s name and phone number _______________________________________________________________
Do you have plans to move? If so, when? ____________________________________________________________
Have you ever moved while you owned a pet? What happened to it? _______________________________________
Who will care for this cat? ______________________________________________________________
How would you describe your household? Active Noisy Quiet Average
Does anyone in your household have allergies to animals? Yes No
What will you do if allergies to the pet develop in the future? ________________________________________________________
|
Preferences
Do you want a cat for: (circle all that apply) House pet Mouser Breeder Companion Gift (for whom) ____________
Desired Coat Length: Short Hair Medium Hair Long Hair No Preference
Desired Sex: Male Female No Preference
Desired Traits: Zippy, high energy Independent Very affectionate Quiet
Mellow, easy going Playful A lap cat Declawed
Do you plan on having this cat declawed if it is not already? _________________________________
Are you aware of the alternatives to declawing? __________________________________________
Where will this cat be kept while you are at work or away from home? _______________________
Where will this cat be kept at night? ___________ ________________________________________
Change is inevitable in one’s lifetime. What will you do if you can no longer care for your animal? ___________________________
Will this cat be allowed outdoors? Yes No Undecided
If yes, under what conditions?____________________________________________________________
Have you ever had a pet that: _____was hit by a car _____ran away _____ died of natural causes
How much do you expect to spend on a pet in a year? (Keep in mind veterinary expenses, food, litter, toys) __________________
How long do you expect it will take for your new cat to adjust to his/her new home? ______________________________________ |
Pet Information Please list any pets you have had in the last 5 years (circle each appropriate answer)
Type (Cat/Dog) |
Breed |
Age |
Spayed/Neutered? |
Kept where? |
Do you still have this pet? |
|
|
|
Yes No |
In Out Both |
|
|
|
|
Yes No |
In Out Both |
|
|
|
|
Yes No |
In Out Both |
|
|
|
|
Yes No |
In Out Both |
|
|
|
|
Yes No |
In Out Both |
|
Are your other pets current on their vaccinations? YES NO DON’T KNOW
Does your dog(s) get along with cats? YES NO DON’T KNOW
When was the last time your pets were at the vet? ___________________________________________
Who is your veterinarian? _______________________________________________________________
Do you need information on:
Litterbox Training Vaccinations Flea Control Declawing Feeding Introduction to other pets
By signing below, I agree that all of the above information is correct. I understand that any misrepresentation will result in being denied for adoption.
____________________________________________________________________________________
Signature Date