South County Cats
Adoption Questionnaire
Cat or Kitten(s) you would like to adopt:
*
Applicant Name:
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Adults' Occupation/Employer(s):
*
Home is a:
*
House
Condo
Apartment
Other
How long have you lived here?
*
Do you:
*
Own
Rent
Other
Landlord:
Landlord's Phone Number:
-
Area Code
Phone Number
Do you have your Landlord's permission to adopt a cat?
*
Yes
No
Not Applicable
List all adults and relationship living in your home (i.e., partner, parent, roommate):
*
List ages of children living in your home:
*
Do other children visit often?
*
Yes
No
Does anyone have pet allergies?
*
Yes
No
Does everyone in your home approve of this adoption?
*
Yes
No
Do you have a Veterinarian/Clinic?
*
Yes
No
If yes, Vet Clinic's name:
Do you have a secure cat carrier to bring a cat home (no cardboard boxes)?
*
Yes
No
How many cats have you owned as an adult?
*
First time owner
1 or 2
3 or more
Who will be the primary caretaker for this cat or kitten(s)?
*
Yourself
Other
What is the noise/activity level in your home?
*
Low
Medium
High
How many hours a day will your cat be home alone (w/o human(s))?
*
0 to 4 hours
5 to 8 hours
9 or more hours
If you own other cats, where do they spend their time?
*
Indoor Only
Indoor/Outdoor
Outdoor Only
Not Applicable
If your cat goes outside, please explain how:
Will this cat spend time:
*
Indoor only
Indoor/Outdoor
Outdoor only
Please list your current and past pets with current pets first:
*
Rows
Pet's Name
Type: Cat, Dog (breed)
M/F
Spayed or
Neutered
Age
Where did you get this pet?
What happened to this pet?
1
2
3
4
5
6
7
8
What type of cat are you looking for (check all that apply):
*
Adult companion
Playmate for kids
Companion for pet(s)
Mouser
Other
What age of cat or kitten(s) are you looking for?
*
10 to 16 weeks
4 to 12 months
1 to 5 years
No preference
What gender cat or kitten(s) do you prefer?
*
Male
Female
No preference
What length of hair do you prefer?
*
Short
Medium
Long
No preference
Do you enjoy grooming a cat?
*
Yes
No
Maybe
Temperament (check all that apply)
*
High energy
Mellow, easygoing
Independent
Affectionate, lap cat
Talkative
Quiet
No preference
Other
Are you looking for a declawed cat?
*
Yes
No
Maybe
Would you consider adopting a cat with an existing medical condition?
*
Yes
No
Maybe
If you already have a cat in mind, what attracted you to this particular cat or kitten(s)?
*
Are there any bad habits, issues or problems that you could NOT tolerate or are not willing to work towards resolving?
*
Litterbox problems
Furniture/rug scratching
Aggressiveness with adults, children or pets
Extreme shyness or hiding
None. Willing to work through any issue that may arise.
Other
Would you consider declawing your cat?
*
Yes
No
Maybe
Don't know
Under what circumstances would you not keep a cat?
*
Have you ever rehomed a pet? If yes, please explain.
*
What will happen to your pets if they outlive you?
*
Are there topics you would like to discuss with us?
*
Indoor vs. Outdoor
Litterbox issues
Inappropriate scratching
Declawing
Grooming
Feeding
Cats and kids
Introducing a cat to other pets
None
Other
When will you be ready to adopt? "Now" or please provide a date and explanation.
*
How did you hear about South County Cats' adoptable kitties?
*
Submit
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