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Veterinarian
Referred by:
Cat's diagnosed medical condition(s). If none, type NA.
Prescribed medication(s). If none, type NA.
Prescribed and unprescribed supplements. If none, type NA.
Cat’s name
Breed
Color(s)
Gender
Date of birth or approximate age
Cat’s weight
Spayed/Neutered
Age of spay/neuter surgery. If unknown, please type “unknown”
Was there any change after the surgery? If yes, please describe.
Declawed
If declawed, what age was the surgery?
Was there any change after the surgery?
How did you obtain the cat?
How old was the cat when you obtained?
What was the behavior of the cat’s parent(s) and litter mate(s)? If unknown, type NA.
Describe your cat's personality.
Why did you obtain the cat?
Type of food
When is the cat fed?
Describe the cat’s eating habits.
List treats the cat likes.
How often are these given?
What’s the cat’s favorite treat?
Do you give your cat catnip?
How often?
How does the cat react to catnip?
Does your cat hunt?
What does the cat hunt and what does the cat do with the prey?
What are your cat’s favorite toys?
Does the cat like interactive toys?
Who plays with the cat? Check all that apply.
When does your cat like to play the most?
How long is the cat alone per day?
How often do you or others play with the cat?
Cat’s reaction to being alone?
Is your cat allowed outside?
Is the cat supervised when outside?
How often and for how long?
During the daytime, where does your cat sleep when you are home?
Where does your cat sleep when you are not home?
During nighttime, where does your cat sleep?
How does your cat react to car rides?
How does your cat react to your visitors?
How does your cat react to loud or unusual noises?
How does your cat react to new cats in the home?
How does your cat react to dogs?
As a form of positive reinforcement, what treat would you prefer to give to your cat? Give as many types as needed.
What other types of rewards would your cat enjoy?
List the family members (name, gender, age)
How does your cat get along with them?
Who feeds your cat?
Who grooms your cat?
Who plays with your cat?
Who gives treats to your cat?
What is your typical family schedule?
List the other pets in the home (including gender and age).
How do the pets get along?
Do you do any training with your cat?
Who is the trainer?
What commands does your cat know?
Does your cat have any tricks? If yes, please explain.
Is your cat harness and leashed trained?
How does the cat respond to the harness?
How does your cat react to nail trimming? Check all that apply.
How does your cat react to grooming/brushing? Check all that apply.
How does your cat react to getting pills and/or liquid medications? Check all that apply.
How does your cat react to cleaning/treating the ears? Check all that apply.
How does your cat react to being petted? Check all that apply.
How does your cat react to bathing? Check all that apply.
How does your cat react to being picked up/carried? Check all that apply.
What time of punishment have your used? Check all that apply.
What punishment was most effective?
What punishment had the most adverse effect? Please describe.
Does your cat groom itself?
Is the grooming:
Does your cat lick or groom other is the home? Check all that apply.
Does your cat have a scratching post?
Does your cat knead (make biscuits)?
Does your cat use the litter box to defecate?
Does your cat use the litter box to urinate?
Does your cat eliminate outside?
Does your cat cover the elimination?
Does your cat eliminate in your home?
If so, please explain. If no, please type NA.
How often do your change/clean the litter box?
Where is the litter box located?
What type of litter do you use?
How many litter boxes do you have?
Is your cat aggressive towards:
Has your cat bitten anyone?
Has the bite required medical attention?
Is your cat fearful?
Describe any situations where your cat is shy, timid, or fearful.
How does your cat respond to the situation?
Check other behaviors the cat exhibits:
Are there any other concerns you would like to report about your cat? If none, type NA.
Thank you for your time! We will review your questionnaire and request, and contact you.
This information is provided to the best of my knowledge.
By typing my name and today's date, I am submitting my request for a cat behavior consultation.
Create Account or Log In:
Creating an account or logging in via facebook/email will let you save your application, and allow you to access your pets medical records and other important information after you adopt or foster.