Feline Behaviour Consultation Questionnaire

  • Feline Behaviour Consultation Questionnaire

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Preferred Form of Communication*
  • Preferred Time of Appointment*

  • Regular DVM

  • Format: (000) 000-0000.

  • Cats Information

  • Date of Birth
     - -
  • Sex
  • Spayed/Neutered
  • Any behavioural changes after spay/neuter?
  • Is your cat declawed?
  • For what reason did you obtain this cat (please check all that apply)
  • Describe your cats personality (check all that apply)

  • The Home Environment

  • Does your cat have any issues getting along with family members?
  • Do you have other pets in the home?
  • Is there any conflict between the pets in your home?
  • Does your cat have a favored climbing/perching/play center?
  • Does your cat climb/perch/play in areas that you find undesirable?
  • Does your cat have a scratching area/preferred scratching location?

  • Diet and Nutrition

  • Is your cat
  • Describe your cats appetite
  • Do you give your cat treats
  • Describe your cats appetite for treats
  • Is your cat taking any supplements?
  • Does your cat hunt?
  • Does your cat eat the prey?

  • Daily Routine

  • Does your cat spend time outside?
  • When your pet is outside is it (select all that apply)
  • Does your cat see, hear or come in contact with outdoor cats?
  • Have you used a crate for housing or travel?

  • Play and Activities

  • Do you play with your cat?
  • Does your cat engage in play on it's own?
  • Does your cat have an activity center?
  • Does your cat engage in over-exuberant or unacceptable play?
  • Does your cat chew on or swallow objects that are inappropriate or undesirable?
  • Rows

  • Handling

  • Rows
  • Are there differences in the way the cat responds to handling by different family members?
  • Rows

  • Training

  • What type of training have you done with your cat (Please select all that apply)
  • Does your cat respond to any cues?
  • Please select all that apply
  • Does your cat respond to any other cues or perform tricks?
  • Does your cat respond differently to cues from different family members?
  • How successful would this be?
  • Rows
  • Have you ever used punishment or corrections with your cat?
  • Rows
  • Have you used any other punishment not listed above?
  • Has punishment ever resulted in aggression?
  • Does your cat respond differently to punishment from different family members?

  • Grooming and Skin Disorders

  • Does your cat's self grooming appear to be
  • Does your cat lick or groom (please select all that apply)
  • Does your cat knead?
  • Do you feel that your cats kneading is excessive?
  • Does your cat have problems with overgrooming, rippling skin, excessive scratching or hair loss?
  • Is the problem
  • Do any of the pets in the household go outside?
  • Were there changes in the household before the problem began?
  • Were there changes in the cat's behaviour or health prior to the problem?
  • Has the frequency/severity/pattern or type of hair loss changed since the problem first arose?
  • Is there a particular event that is most likely to aggravate the problem?
  • Is there a particular time of month or year that the problem gets worse?
  • Is there a particular time of month or year that the problem improves?
  • Is the behaviour more likely to occur when you are (select all that apply)
  • Do any other pets at home have skin problems?
  • Do any other family members have skin issues?

  • Scratching Behaviours

  • Does your cat scratch in areas that are undesirable?
  • Are there specific events that precede scratching?
  • Do you see your cat scratching?

  • Elimination and Litterbox Care

  • Do you have concerns with your cat urinating or defecating outside of the litterbox/designated bathroom area?
  • Rows
  • What type of litter box do you have (select all that apply)
  • Has your cat every been fully litter trained?
  • Is the problem
  • Is the soiling
  • At the time the problem began, describe your cats stool (select all that apply)
  • At the time of this consultation request, describe your cats stool (select all that apply)
  • At the time the problem began, describe your cats urine (select all that apply)
  • At the time of this consultation request, describe your cats urine (select all that apply)
  • Is the urine soiling
  • Is there a particular surface or texture on which your cat prefers to soil?
  • Are there any surface types where your cat never soils?
  • Is there a room or location where your cat prefers to soil?
  • Is there a room or location where your cat never soils?
  • Were there any changes to the household when the problem began?
  • Were there any changes to the litter when the problem began?
  • Have you seen your cat soiling?

  • Fear and Reactivity Screening

  • Rows
  • Describe your cats level of arousal in these situations:
  • Are there any problems with travelling?
  • How do you travel with your cat?

  • Aggression Screening

  • Does your cat display aggression?
  • What is the severity of your cats aggression?
  • Please indicate to which of the following your cat has shown aggression (select all that apply)
  • Is the aggression serious enough that you will be unable to keep your cat if it is not improved?
  • Have you considered euthanasia of your cat due to aggression problems?
  • Describe your cat's demeanor at the time of aggression?
  • Describe the aggression (select all that apply)
  • How often does the problem occur
  • Is the problem
  • Has any treatment to date made the problem better?
  • Has any treatment to date made the problem worse?

  • Miscellaneous

  • Rows
  • Is your cat currently on any medications?
  • Should be Empty: