Cat Surrender Questionnaire

Cat Surrender Questionnaire
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your mobile number*
Your landline number
Email*
example@example.com
All of our pets require a complete vet check and therefore we request a surrender fee of $100, provided the pet’s vaccinations are up to date. If not and the pet requires vaccinations, the surrender fee will be $150. Are you able to contribute towards the costs of rehoming your pet?*

YesNo
Are you willing or able to foster your cat for us until we can find another foster carer or adopter? (If so, for how long?)*
Please tell us why you are surrendering your cat?*
Has your cat been listed on any other websites(or with any other groups) for rehoming? If so, what group/s?*
How did you hear about us? Who referred you to us?
Cat's name*
Microchip number
Cat's breed*
Is your cat desexed?*

YesNo
Cat's date of birth or approximate age*
Do you know when your cat was last vaccinated?*
What is the name, address, and contact phone number of your vet?*
Do you have any paperwork for your cat? *
This might be vaccination papers, microchip certificates etc. Please tell us what you have.
How long have you had your cat?*
Where did you get your cat from?*
Is your cat indoor only?*

Indoor onlyOutdoors onlyIndoors/outdoorsIndoors but has an outdoor pen
If we do not have a carer who is suitable for your cat we may advertise on Facebook for a new carer. Of course any carer who applies through a Facebook ad will need to go through our normal rigorous screening process (application, phone interview, property check).
Are you happy with us advertising your cat/s on our public Facebook page for a new carer if needed?*

YesNo
PLEASE FILL OUT THIS NEXT SECTION IN AS MUCH DETAIL AS POSSIBLE

This will help them settle in their new foster home, and enable us to find a more suitable permanent home as quickly as possible. Remember you know your cat best.
Is your dog good with other cats or pets? Please explain your answer. If no, tell us why and what he/she does. If yes, tell us what interactions he/she has with other pets.*
How does your cat relate to children?*
What is your cat's activity level? Is he/she laid back, energetic?*
Is your cat used to being left home alone? If so, for how long, and where are they usually kept when alone (inside or outside)? How do they cope? Are they fully on their own, or do they have other pets with them?*
Does your cat have any habits good or bad that we should know about?*
Where is your cat used to sleeping? Please be specific*
Does your cat like to be handled?*
Has your cat ever attacked anyone?*
Does your cat have a problem with scratching or peeing in inappropriate places?*
If we are unable to assist, are you happy for us to share this form with other rescue groups?*

YesNo
Are there any other things you can think of good or bad that we might be interested in? Any information you can tell us may be useful in rehoming, or helping them to settle in a new environment*
If you have any photos or files (including any microchipping or vet paperwork) to send us please upload them here. Don't worry if you don't have them ready yet. There will be another link sent in the automatic reply you receive after filling out this form. Please make sure you send us a few good, landscape photos of your cat.

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Cat Surrender Questionnaire

PLEASE FILL OUT THIS NEXT SECTION IN AS MUCH DETAIL AS POSSIBLE