MY CAT’S MEOW
This information is essential in finding a new home for your cat. We will share this form with potential new adopters.
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Your Name (will not be printed on public form)
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First Name
Last Name
Email (will not be printed on public form)
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example@example.com
BASIC INFORMATION
Cat's name:
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Any nicknames:
Cat's age or date of birth:
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Cat’s age when you got them:
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Is your cat declawed:
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No
Yes - 2 paws
Yes - 4 paws
Is your cat spayed/neutered:
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Yes
No
Unknown
Why are you giving up your cat:
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How did you obtain this cat?
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Friend, neighbor, or family
Free from an ad
Breeder
Pet store
Born at home
Stray
Gift
Adopted from shelter/rescue
Which shelter/rescue:
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Who is the breeder:
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Why did you get this cat:
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Companion for myself
Companion for family member
Companion for another pet
Family member got the cat
Unwanted gift
Hunting cat
Working cat
Other
Was this cat raised with kids:
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Yes
No
Ages:
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Was this cat exposed to your cat(s):
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Yes
No
No other cats in house
Age of your cat(s)
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Kitten
Adult
Senior
Sex of your cat(s)
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Male
Female
How many cats?
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How did they interact? (select all that apply)
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Very affectionate
Playful and energetic
Groomed one another
Slept near one another
Peacefully coexisted
Ignored each other
Fought w/out injuries
Fought w/injuries
Caused this cat stress
Was picked on
Picked on resident cat
Hissed/Growled
Played too rough
Other
Was this cat exposed to your dog(s):
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Yes
No
No dogs in house
Size of your dog(s)
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Small
Medium
Large
X-Large
How did they interact? (select all that apply)
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Very affectionate
Peacefully coexisted
Cat rubbed on dog
Slept near each other
Avoided each other
Picked on dog
Caused this cat stress
Cat feared dog
Cat ran away
Hissed/Growled
Fought w/out injuries
Fought w/injuries
Other
Was this cat exposed to other species:
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Yes
No
What species:
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Reaction:
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Friendly
Playful
Tolerant
Afraid
Other
HOUSING INFORMATION
Where does this cat spend their time:
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Inside only
Outside only
Inside and Outside
Outbuildings (shed, barn, etc.)
Screen cat room
Fenced cat area
Other
When is this cat inside:
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When is this cat outside:
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How does this cat get outside:
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Cat door
Window
Person lets them out
Other
Did this cat have access to:
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Whole house
Certain areas only
Which areas:
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Where does this cat sleep:
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Was this cat's housing arrangement successful:
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Yes
No
Why not?
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Does this cat have a favorite daytime perching spot?
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FEEDING INFORMATION
Diet:
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Favorite treats:
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Would you describe this cat as a “picky eater”:
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Yes
No
Explain:
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EXERCISE AND PLAY INFORMATION
Does this cat use a scratching post?
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Didn't have one
Yes
No
What type of surfaces does this cat prefer to scratch on?
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Carpet
Upholstery
Cardboard
Sisal fiber
Wood
Other
When scratching, what type of surfaces does the cat prefer:
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Horizontal/flat
Vertical/upright
Slanted/on an angle
Does this cat receive regular play time with people:
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Daily play sessions
A few sessions per week
No regular play time
What does your cat enjoy:
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Balls
Boxes/paper bags
Laser pointers
Looking out windows
Stuffed toys
String
Catnip
Fake mice
Live prey (bugs, mice, etc.)
Other:
Does your cat have a strong prey drive:
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Yes
No
What is this cat’s play style:
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Gentle as a lamb
Middle of the road
Rough n’ tumble
Not interested in play
What is this cat’s activity level:
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Low energy
Middle of the road
Extremely active
When is this cat most active:
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Daytime
Nighttime
Both
What activities did you do with this cat that the cat enjoyed:
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Petting
Brushing
Playing fetch
Playing tug
Playing chase
Roughhousing
Training games
Road trips
Quiet companionship
Other
GROOMING AND HANDLING INFORMATION
Does this cat like to be:
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Picked up-they initiate
Held-they initiate
Picked up-people initiate
Held-people initiate
It varies
None of the above
What areas of your cat’s body do they NOT like being touched/handled:
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Petting Preference Chart
Does this cat display any of the following “don’t pet me right now” behaviors:
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No signals
Swishes tail
Twitches ears
Flattens ears
Ripples back
Narrows eyes
Growls
Smacks
Other
How does your cat behave during visits to the vet:
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Are you able to clip the nails:
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Haven't tried
No
Yes- by myself
Yes- with help
Describe how your cat does when groomed (baths, brushing, cleaning ears, etc.):
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How much does this cat shed:
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A lot
Moderate
Some
Very little
LITTER BOX INFORMATION
Is your cat litter box trained:
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No- too young
No- goes outside
No
Yes
Are the litter boxes:
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Covered
Uncovered
Automated
Unscented liners
Scented liners
Where are the litter boxes:
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for multi-level homes, note if on different floors
How many litter boxes:
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For how many cats:
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What type of litter is used:
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Unscented
Scented
Clumping
Non-clumping
Clay/Sand
Pellets
Crystals
Other:
Brand of litter:
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How often are they scooped:
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How often are they cleaned:
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How often is the litter replaced:
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Is dirty litter stored next to the litter box:
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Yes
No
How often do you empty the bin:
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Does your cat have accidents in the house:
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Yes
No
What percent of the time does your cat defecate outside of the box:
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Other than the litter box, where does your cat defecate:
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What percent of the time does your cat urinate outside of the box:
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Other than the litter box, where does your cat urinate:
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What are you using to clean the areas of inappropriate elimination:
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When did you first notice this issue:
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Has it:
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Increased
Decreased
Stayed the same
Did you change any of these before the problem started:
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Brand of litter
Type/texture of litter
Litter box location
Type/style of litter box
No changes
Other
Any changes or stresses from your cat’s point of view:
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New schedule
Household move
New baby
Baby became “mobile”
Person added to home
Pet added to home
Person subtracted from home
Pet subtracted from home
None
Other
Is there a noticeable pattern as to when the cat eliminates outside the box?
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time of day? home alone?
Size of your litter boxes
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Are any of boxes a type or shape other than the standard rectangular:
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Yes
No
What type/size:
What do you use to clean the litter box:
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Will this cat immediately use a freshly cleaned litter box:
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Almost always
Most of the time
Sometimes
Not really
Have other animals used these same spots for inappropriate eliminations:
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Yes
No
How many:
Is your cat:
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Spraying (standing position w/ urine landing on vertical surfaces)
Squatting (sitting position w/ urine landing on horizontal surfaces)
What kind of surface is targeted:
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Carpet
Wood
Vinyl
Tile
Human’s bedding
Human’s clothing
A person
Bath/shower/sink/basin
Another pet’s items
Other
Have you caught this cat “in the act”:
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Yes
No
Does this cat have access to a litter box 24/7
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Yes
No
Are any of the litter boxes in a noisy (appliances, road, etc.) or busy location or by a window:
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Yes
No
Explain:
Has this cat had a negative experience (medicated, scared, ambushed by another cat, etc.) near a litter box:
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Yes
No
Where are the food and water bowls relative to litter boxes:
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Does this cat:
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Strain when peeing/pooping
Have blood in the urine/stool
Lick the genital area excessively
Crouch for a long time to pee/poop
Cry during peeing/pooping
Balance on the edge of LB to eliminate
None
Other
Is this cat drinking more water than normal:
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Don't know
No
Yes
For how long:
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Any other symptoms:
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Appetite loss
Weight loss
Vomiting
Diarrhea
Listlessness
None
Other
What have you done to try to solve this problem:
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Took cat to vet
Changed type of litter
Changed type of litter box
Changed litter box location
Added litter box
Used Feliway
Separated cat from other animals
Nothing
Other
Is there anything else you feel may be relevant to this problem?
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BEHAVIORAL INFORMATION
Does this cat give "love bites"?
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Yes
No
How hard are the bites?
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Soft
Medium
Hard
Do you feel that this cat is territorial:
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Yes
No
Explain:
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How did you respond when the cat did something you didn't want them to do:
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Verbal correction
Physical correction
Squirt bottle
Throw something at the cat
Timeout inside
Put cat outside
Ignore the behavior
Other
What do you discipline this cat for:
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Litter box accidents
Getting onto counters
Scratching furniture
Scratching people
Biting people
Eating plants
Bothering other pets
Nighttime activity
Nothing
Other
How does this cat behave with FAMILY:
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Seniors
Women
Men
Kids: 12-17 years old
Kids: 6-11 years old
Kids: 0-5 years old
No experience
Friendly
Playful
Plays gently
Plays rough
Cuddly
Reserved
Shy
Fearful
Aggressive
How does this cat behave with VISITORS to your home:
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Seniors
Women
Men
Kids: 12-17 years old
Kids: 6-11 years old
Kids: 0-5 years old
No experience
Friendly
Playful
Plays gently
Plays rough
Cuddly
Reserved
Shy
Fearful
Aggressive
Does this cat have a preference for:
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Seniors
Men
Women
Children
Animals:
Is your cat afraid of:
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Strangers
Baths
Vacuum
Loud noises
Car rides
Vet visits
Nothing
Other
How does this cat react when afraid (hides/growls/etc):
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Does your cat tend to:
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Jump on countertops/tables
Scratch
Bite
Chew plants
Door dash
Vocalize
Scratch carpet/furniture
Stay active at night
Climb trees
None of these
Other
How would you describe your cat most of the time? (select all that apply):
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Affectionate
Talkative
Quiet
Solitary
A clown/silly
Lap cat
Explorer
Gentle
Outgoing
Anxious
Shy
Extremely shy
Couch potato
Easygoing
Escape Artist
Needy
Feisty
Quick to react
Mellow
Curious
Shy to visitors
Friendly to visitors
Shy to family
Friendly to family
Other:
PLACEMENT AND MEDICAL INFORMATION
Please list any additional information on daily routines for feeding, playing, etc.:
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What do you enjoy most about this cat:
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Describe the ideal home for this cat?
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What would be the wrong home for this cat?
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What else should the Shelter or a potential adopter know about this cat?
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What is this cat's medical history
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Who was the cat's veterinarian:
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Vet's phone number
Please enter a valid phone number.
Second veterinarian:
Second vet's phone number
Please enter a valid phone number.
Please sign so we can access your cat's vet records
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Clear
May potential adopters/new owners contact you:
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Yes
No
Preferred contact information
phone number and/or email address
Please include 1-3 pictures of this cat that we can include in the public profile. Please do not include the faces of any people. You may also upload any medical files that you wish.
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