Kitten Rescue :: Cat Adoption Questionnaire

Cat Adoption Questionnaire


Name: Occupation:
Address: Home Phone:
City/Zip: Work Phone:
E-Mail Cell Phone:
Name of Spouse/Significant Other: Children (with ages):
Age of primary caretaker(s):
List additional people in household:
Who will be responsible for the cat's care (Feeding, cleaning litter box, taking to vet?)
Has anyone in your household experienced allergies or asthma?
Are you prepared to care for this cat for 15-20 years?
Why are you looking to adopt a cat? (check all that apply)
Companion for you/spouse Companion for children Companion for pet Gift for
Replace lost/deceased cat Other (please explain)
Is your home a:
Home Apartment Condo Other
How long have you lived at this address?
Do you have plans to move in the near future? If yes, where to?
Do you rent or own your home?
If renting, do you have permission to have a pet?
Landlord's Name: Phone Number:
If you live in a condo, what are the association's rules about keeping pets?
Do you have any of the following?
Patio Balcony Pet Door Unscreen windows Unscreened doors
Backyard Frontyard Other means of outdoor access (describe)
Are you willing to have a Kitten Rescue representative visit your home?
In what areas of your home will your cat be allowed?
Where will you keep the litter box?
Where will your cat sleep at night?
Cat Bed Garage My Bedroom Anywhere (s)he wants Other
How many hours of the day will your cat be left alone?
Where will (s)he be left when alone?
Will your new cat be an indoor or outdoor pet?
Indoor Outdoor Both
If Allowed outside
Anytime Daytime only Under supervision On balcony/patio only On a leash
Only when cat is older Only if I move to a house or other location
If both, how many hours per day will your new cat be outdoors? Indoors
Is this your first pet? Do you have any other pets?
If yes, what kind and how many?
Dogs: Cats: Other:

Where did you get your current pet(s)?
What brands of pet food do you feed your pets?
What are their favorite toys?
Please list pets you've previously owned

What happened to pets previously owned?
If deceased, what was the cause of death?
If you previously owned cats, were any of them declawed?
If yes, where was the proceedure performed?
Do you plan to declaw your new cat? If yes, Why?
Do you have a veterinarian? Vet's Name: Vet's phone #
If you have oher dogs or cats, are they spayed/neutered?
If you have cats, are their vaccinations current?
Have they been tested for leukemia (FeLV) Tested for FIV?
If you currently have a cat or dog, how often does your pet visit the veterinarian?
When was the last visit and for what service?
Are you prepared to cover any vet expenses that your pay may incur throughout its life?
What is the limit?
Have your cats caused any of the following problems? (check any that apply)
Scratching furniture/carpet/drapes Scratching people Fleas High vet bills Litter box problems
Fighting with other pets Excessive shedding Running away Other
What will you do if the cat claws the drapes or furniture?
What is a behavior that would not be acceptable to you?
What amount of time do you think is reasonable for your cat to adjust to you and your home?
What will you do with your new cat if...
You move to a new home that does not allow pets?
You get married (if you're single)?
A new boyfriend/girlfriend is allergic to cats?
You travel?
You move locally? Out of state?
Under what circustances would you not be able to keep this cat? (please check all that apply)
Pregnancy/Baby Divorce/Separation Spouse/child is allergic Needs too much attenton
Job change/loss New house/apt. Scratches carpet/drapes/furniture Behavioral problems
Expensive vet bills Conflicts with other pets Sprays, litter box problems Needs special diet
Cat becomes disabled Requires daily treatment Other (please specify)
If you have to give up this cat for any of the above checked reasons, what will you do with the cat?
Were you ever in a situation where you were not able to keep a pet?
If yes, Please Explain:
How did you find out about Kitten Rescue? If Other, Please list
I certify that all of the above information is true and accurate. I understand that if I adopt a pet from Kitten Rescue, this document will become part of the adoption record.
Please Type your Full Legal Name: Today's Date:
Cat Preference:
 
 
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