Cat - Behaviour Questionnaire

Please answer the following questions as completely as possible. The completed questionnaire helps us to assess the environment, social interactions, and behaviour of your cat, and hence determine the possible causes(s), prognosis and specific treatment protocol for their problem(s).

Your Name:*

Your Phone Number:*

Email:*

Pets Name:*

Breed:*

Age:*

Weight:*

Male or Female?*

MaleFemale

Desexed?*

YesNo

Why did you decide to get a cat?

Where did you get your cat and how old was your cat?

Why did you choose your pet over others?

Describe your cat’s behaviour as a kitten:

Describe your cats behaviour now:

Has your cat had any other owners? If yes, how many? If yes, why was your cat surrendered?

Have you owned cats or other pets before?

Is your cat indoor only / indoor-outdoor / outdoor only?

Where does your cat generally sleep at night?

Do you play with your cat?

What toys does your cat enjoy?

Who is your regular vet (Practice and name of attending Veterinarian)?

When was your pets last veterinary examination?

Does your pet have any underlying physical or mental health conditions that have been diagnosed by a veterinarian?

Are these conditions currently well managed? And are they receiving any medication? including herbal remedies such as St John’s Wort or Rescue Remedy. Also, please list dose, frequency, and response to the medication:

What age was your pet desexed? If they are not desexed, do you plan on breeding with them?

Were there any behavioural changes after your pet was desexed?

What do you feed (include brand name) and how much of each food:

Mealtime AM

:HourMinutesAM/PM Option

Mealtime PM

:HourMinutesAM/PM Option

Does your cat eat the food all at once? If not, how long do you leave the food down?

What is your cat’s favorite food treat?

Do you use anything other than a bowl do feed your cat?

Where is the food bowl or food dispensing toy located?

Where is their water bowl located and how many bowls do you have in the home?

Where is your cat when you eat?

How many people live in your home?

What ages are the people in your home?

Hours spent away from the home?

Please list the animals living in your household:

Please describe your cat’s relationship with other animals (friendly, aggressive, hostile, fearful etc):

How would you describe your relationship with your cat?

What type of home do you have? (apartment, house, farm, etc):

Have you moved since acquiring your cat? Describe:

How does you cat behave when you have visitors and does this differ if the visitor is familiar or unfamiliar?

How does your cat behave in the car?

How does your cat behave at the vets?

When does your cat meow?

When does your cat chirp or chat?

When does your cat hiss or growl?

Does your cat use a litter tray?

How many trays are inside the house?

What size are the trays?

Where are they located specifically?

What type of litter do you use (brand)?

How often are the trays cleaned?

How do you clean them and what do you use?

Does your cat ever toilet outside the litter tray?

UrineFaecesBoth

Does your cat squat to urinate?

YesNo

Does your cat bite, nip, or attack you or other people? Describe:

Does your cat destroy carpets, furniture, clothing, ect, by attacking, chewing, toileting on them? Describe:

Does your cat lick, bite or pull out its fur or groom excessively?

What is your cat’s activity level in general?

What are the main problems you are seeking help and advice about?

Please describe other problems you would like to discuss with us. Please describe the behaviour in detail:

When did you first notice the problems and when did they become a serious concern?

Have these behaviours gotten better or worse over time? Please describe:

What have you done to try and correct the problem and was it helpful?

How do you respond to your cat when he/she performs undesirable behaviours?

What are your goals for the consultation?

Do you have anything else you would like to mention?

How did you hear about our Questionnaire?

Your vetYour veterinary team (such as reception/nurses)Online (social media/research)Friend/family

Cat - Behaviour Questionnaire

Cats Background

Medical History

Feeding History

Home Environment

Toilet Habits

Undesirable Behaviours

Presenting Problems