Alli Cat's Health & Behavior History Questionnaire

CAT GUARDIAN'S INFORMATION Alli Cat's will NEVER share or sell ANY of the information that you provide us with.
Cat Health & Behavior History Questionnaire *** If you are using a mobile browser, This form is best viewed in Landscape Mode ***
Cat Guardian's Name*

First NameLast Name
Phone Number*
Email*
CAT'S INFORMATION If you are having multiple cats groomed, Please fill out a duplicate form for each cat that will be groomed.
Cat's Name*
Whatever the cat responds the best to
Cat's Approximate Age*
Are you willing to get on a regular grooming schedule (4-6-8-10-12 weeks depending on cost maintenance)*
A regular schedule is desired to become a client
Do you have a recent photo of your cat that you can upload?

Upload Photo/s
THIS IS NOT MANDATORY, But it gives the groomer an idea of how the cat coat looks & It can also help with judging the approximate length of time that the cats grooming appointment might require (Also because the groomer also likes to see cute cat photos!) Cancelof
Or would you like to take a new photo now?
Gender*

Male/NeuteredMale/Intact (Fertile)Male/CryptorchidFemale/SpayedFemale/Intact (Fertile)
Spends his/her time*

Indoors OnlyOutdoors OnlyBoth Indoors & OutdoorsOutdoors Only When Supervised or Contained
Cat's Breed*
(If you are not sure of your cats breed, just type UNKNOWN)
Length of Fur*

HairlessShort HairedLong HairedOther
Is your cat's fur matted? (If the answer is "No", Please skip the next question*

YesNo
How would you describe the amount of fur matting?

Very Mild- Only a few tanglesMild- 1-2 Small matsMedium- 2-5 mats less than 1" in sizeHeavy- 4 or more mats 1.5" or larger in size & on various parts of the cat's bodyExtreme- Fur is pelted, matting is close to the skin, large in size & on various parts of or all over the cat's bodyOther
Has your cat been to a groomer before?*

Unknown (Newly Adopted Cat)No, Cat has never been groomedYes, if the groomer had problems with the cats behavior during the grooming session (Please Explain Below)Other
Has your cat ever been bathed before?*

Yes, At homeYes, By a groomerNoUnknown, Newly Adopted Cat
Does your cat allow you to brush them?*

YesNoUnsure, Never tried to brush them beforeUnknown, Newly Adopted Cat
Are there any areas of the body that your cat considers "Off Limits"?*
How would you describe your cat*

LovingFriendlyGentileShySkittishScared of PeopleMeanUnknownOther
Does your cat have any type of health conditions? (If "NO" please skip the following 2 questions)*

YesNo
If "Yes", Please describe condition
GROOMING APPOINTMENT INFORMATION
I am interested in having the following service/s done. (check all that apply)*

Shaved (lion cut)Trim up all over (comb cut)Shorthair bath and deshednail trimSani Shavespecialty cut (dino cut)Other
How did you find out about us?*

GoogleFacebookBingNeighborhood appMobile App. (Please type the name of the app in empty box)Other
CAT GUARDIAN'S CONSENT
Do you give Alli Cat's permission to take your pet's photo for possible use on our website or on our Social Media Pages?*

YesNo
All of the information in regards to my cat that I have provided in this form is correct to the best of my knowledge*
Signature*

Clear
Signed On*

MonthDayYear
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