Feline Behavior History Form

  • Feline Behavior History Form 

    Thank you in advance for taking the time to answer all questions on this form. It will take some time yet the information is important in guiding Lisa to the recommendations she will offer for managing the cat behavior issues you are facing. Only use the "save" function at the bottom of each page if you're not sure you will have time to finish in one sitting. Otherwise, just use the NEXT button to move onto the next page. If have any questions while completing the form, please text Lisa at (702) 292-4950. 

  • Date
     / /
  •  -
  • How did you hear about All About Purrs or Lisa?*

  • Your cat care experience (Select all that apply.)*

  • My primary behavior concern:*

  • Which Cat Behavior Support Program are you interested in? For your information, the phone consultations and in-home assessment will require video(s) of your home prior to the phone consultation and initial background call in the case of the in-homes.*


  • The cat(s) are...*

  • Are any cats declawed? If so, check "other" and note which cat(s) and when was the surgery?

  • Are you aware of any neighbor / stray / community / feral cats that come on your property from time to time (outside in the yard or around your home or building)?*

  • How often does the behavior occur?*
  • What changed in the life of the cat(s) around this time or just before? Please select any of the following events that occurred? (Select ALL that apply.)*

  • Describe the personality of the primary cat (Cat #1) involved in the behavior issue (Select ALL that apply):*

  • Is another cat involved in the behavior issue? (Check “Yes” for Multicat Households even if other cats are indirectly involved.)
  • Describe the personality of the other cat (Cat #2) involved in the behavior issue (Select ALL that apply):

  • Is a third cat involved in the behavior issue?
  • Describe the personality of the next cat (Cat #3) involved in the behavior issue (Select ALL that apply):

  • Is a fourth cat involved in the behavior issue?
  • Describe the personality of the next cat (Cat #4) involved in the behavior issue (Select ALL that apply):

  • If a multicat household, describe the role Cat #1 plays in the household with the other cats:

  • Describe the role Cat #2 plays in the household with the other cats (if applicable):

  • Describe the role Cat #3 plays in the household with the other cats (if applicable):

  • Describe the role Cat #4 plays in the household with the other cats (if applicable):

  • How do you show your cat(s) they are doing things you like? (Select ALL that apply.)*

  • How do you show your cat(s) they are doing something you do not want them to be doing?*

  • Do the cat(s) receive regular playtime with you or a caregiver?*

  • What types of play and enrichment activities? (Select ALL that apply.)*

  • Do you use any of the following litter boxes or any other self-cleaning litter box? [Note: These are NOT recommended.]

  • Where are the litter box(es) located? (Select ALL that apply.)*

  • What type(s) of cat litter do you use? (Select ALL that apply.)*

  • Do you line the litter box(es) with a plastic liner?*

  • Do the litter boxes have covers / lids?*

  • How often do the litter boxes get scooped? (Select ALL that apply.)*

  • What elimination is occurring INSIDE the box? (Select ALL that apply.)

  • What material is the cat soiling on? (Select ALL that apply.)

  • Where is the cat eliminating? (Select ALL that apply.)

  • How would you describe the cat’s elimination? (Select ALL that apply.)

  • How often is the cat eliminating / soiling outside the box?

  • Does the cat repeatedly enter and exit the litter box?
  • Does the cat appear to be straining to urinate?
  • Does the cat yowl or wince when urinating?
  • Does the cat groom genital area excessively?
  • Have you noticed the cat laying on cold surfaces recently (tile, stainless steel, brick)?
  • Does the cat appear to be straining to defecate?
  • Is the cat's abdomen sensitive to touch?

  • Home Environment Videos (MUST SEND)

    The final piece of information that Lisa will need is a visual layout of your home so she can see the environment your cat(s) are living in, in relation to all the cat resources. Thus, please send Lisa via text to 702.292.4950, or via Google Photos/Videos to AllAboutPurrs@icloud.com short videos of you walking through your home SLOWLY panning around showing all the important cat resources (e.g., feeding and water stations, litter boxes, cat trees/towers, scratching posts/scratchers, window seats, favorite beds or sleeping spots, etc.) If Litterbox Avoidance is the issue, then point out in the videos the locations where kitty is urinating / defecating outside the box.

    PLEASE DO NOT CHANGE OR CLEAN UP before taking the videos. It is best if Lisa views the environment exactly how the cat(s) are currently living.

    If the behavior issue is related to intercat conflict or some sort of aggression, then please ALSO send any video that you have ALREADY accumulated of this behavior. However, DO NOT INSTIGATE ANY INTERACTIONS BETWEEN CATS OR HUMANS that are in conflict to make a video for Lisa. 

    IMPORTANT: Lisa will not respond to set up a phone call until she has received the video(s). This is an important part of the process. 

  • Proof of Recent Adoption

    To qualify for the FREE Cat Behavior Consultation Services under the Adoption Success Program, please provide a copy of the adoption agreement for one of the cats involved in the behavior issue. The copy can be sent via text to 702.292.4950 or email to allaboutpurrs@icloud.com.

  • Terms of Service and Waiver for Cat Behavior Assessment

    Completion of this Feline Behavior History Form is required before All About Purrs / Lisa Emrich can evaluate your cat(s). The information you provide on this form and during the appointment is considered confidential. By completing and submitting this Feline Behavior History Form, you give permission for All About Purrs / Lisa Emrich to evaluate, assess and formulate a behavior modification plan, and to work with you, your family members (if applicable) and your cats.

    If you have had any behavioral evaluations or physical / laboratory exams done elsewhere, it would be helpful if Lisa had a copy before your appointment (first phone call). Please email to AllAboutPurrs@icloud.com.  

    Most behavior problems often occur because a cat's environmental needs have not been fully met, according to American Association of Feline Practitioners. Thus, you will be asked to provide videos and/or photos of your cat(s), their interactions within the home and of their environment (as noted above). Lisa requests these because it is the best way to evaluate initial concerns and assess progress within the context of everyday life. 

    The videos/pictures should:
    • Show the behavior(s) about which you are concerned, except for any injurious behavior
    • Give a brief tour of the cat’s environment (home/catio/patio/yard) as appropriate 
    • Show all other relevant facets of the cat’s life (e.g., where your cat sleeps, sits, eats, drinks, walks, plays, interacts with other animals, etc.)

    If aggression with injury is one of the complaints, please do NOT provide a video of the cat biting someone, and do NOT put the cat(s) in a situation where any aggression may be provoked. If aggression is a concern, other behaviors will be indicative of it.

    All In-home Behavior Assessments include 3 months of follow-up support via text and phone. The Behavior Phone Consult includes 1 month of follow-up support.

    The evaluation, assessment, and recommendations do not represent a guarantee of successful behavior modification. All cats are unique, just like humans, with varied life experience, genetics and backgrounds. Few behavioral problems are truly cured, and responsible environment management is a factor for every cat. Long-term litterbox avoidance or spraying/marking behavior will be very difficult to correct. 

    WAIVER, ASSUMPTION OF RISK AND AGREEMENT TO HOLD HARMLESS

    I, the behavior client and primary caregiver, understand that the process of behavior change is not without risk to myself, or members of my family, because animals may be the cause of injury even when handled with the greatest amount of care.

    I hereby waive and release Lisa Emrich and All About Purrs, it’s employees, owners and agents from any and all liability of any nature for injury or damage which I, my property or my pet(s) may suffer, including specifically, but without limitation, any injury or damage resulting from the action of any pet, and I expressly assume the risk of any such damage or injury while attending or thereafter any behavioral sessions of Lisa Emrich and All About Purrs on my property, or while on the property or the surrounding area or via phone, text or email thereto.

    In consideration of and as inducement to the acceptance of my application for a behavioral appointment, I hereby agree to indemnify and hold harmless Lisa Emrich and All About Purrs, its employees, owners and agents from any and all claims, or claims by any member of my family or any other person accompanying me to any behavior phone consult, in-home session, follow-up appointment or support of Lisa Emrich and All About Purrs via phone, text, email, my property, or while on the grounds or surrounding area thereto as a result of any action by any pet, including my own.

    I understand and agree to the terms with my signature below and submission of this form.

  • Thank you for your submission. I look forward to working with you and your cat(s). Once I receive the video(s), I will contact you to set up a phone call.

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