CAC Pre-Adoption Questionnaire

Pre-Adoption Questionnaire

Complete your questionnaire so we can help you find a new furry friend.

Please note not all questionnaires will end up with an adoption appointment.
What species of pet are you interested in adopting?*
Name of the pet you are interested in adopting. *
Have you adopted from CAC/KHS before?*
Prospective Pet Parent*

First NameLast Name
KITTENS - At the time of your appointment you will meet the kittens that are available. We cannot reserve/hold specific kittens.
Email Address*
Primary Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip Code
What is your date of birth?*

MonthDayYear
Date
In what type of residence do you reside?*
Do you rent? *
*CAC requires landlord approval. Bring documentation with you to your appointment. We cannot hold/reserve pet/s while this documentation is being obtained.
How many adults, and how many children are in your household? Please list the ages of the children. *
Previous animal experience:*
Do you currently own any pets?*
Please list the pets (name and breed) that you have in your home or that would come in regular contact with this pet. Write N/A, if none.*
On a typical day, how many hours would this pet be left alone?*

Less than 3 hoursAway 3-5 hoursAway 6-8 hoursMore than 8 hoursOther
During the day, where will this pet stay?*

IndoorsOutdoorsIndoors with outdoor accessOther
Where will this pet be kept during the night?*

IndoorsOutdoorsIndoors with outdoor accessOther
Which types of behavior challenges are you UNABLE to take on? Check all that apply.*

Excessive leash pullingExcessive vocalizationKnown house training/litter box issuesExcessively fearful/shy behaviorExtreme overexcitement/hyperactivitySeparation anxiety/extreme anxietyMedical issuesBite history on animal or humanResource guardingOther
What types of medical conditions are you UNABLE to take on?*

Chronic skin/ear conditionsBlindnessDeafnessDiabetesArthritis/joint issuesDental disease - may need cleaning/extractionsFIV+ (cats)Ringworm (exposed/treated)None
What behaviors are you looking for in your new pet? Check all that apply.*

Must be good with childrenMust be good with dogsMust be good with catsMust be good around livestockMust be good in high traffic areas (busy household/crowded public places)Other
Are you willing to do a slow introduction of your new pet to your home and other pet residents?*
FOR DOGS

If you are looking to add a new dog to your home, please complete the following questions.
For DOGS - what size are you looking for?
For DOGS - does your home have a fenced yard?
For DOGS - what activity level are you looking for?

Daily running companionLong walk/hikeShort stroll around the neighborhoodLap dogOther
For DOGS - have you ever raised a puppy? If this is not for a puppy, mark N/A.
FOR CATS

If you are looking to add a new cat to your home, please complete the following questions.
For CATS - is CAC committed to indoor lifestyles for our cats (with the exceptions of certain cats). Are you willing to continue this commitment?*
FOR CATS - are you looking for a barn cat or shop/garage cat?*
For ALL PETS - Is there anything else about your household that you would like us to know?
I understand that CAC does not keep a breed request list.*

Yes
I understand that it can take up to a week for me to receive a call back to schedule an appointment.*

Yes
I understand I will have to resubmit my adoption questionnaire until I find the pet I am looking to adopt.*

Yes
I understand if I see a pet at the shelter I am interested in meeting, I must submit my pre-adoption questionnaire. Staff will then assist me in scheduling an appointment so I can return to meet with the animal.*

Yes
I understand that submitting my questionnaire does not guarantee that I will be selected to adopt this animal.*

Yes
Should be Empty:

Pre-Adoption Questionnaire

FOR DOGS

FOR CATS