Feline behavioural questionnaire

Date*

Date

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Cat's name*

Breed*

Age*

Sex*

Is your cat neutered*

How old was you cat when you obtained it?*

Can you remember where he /she came from?*

Dis e/she, for example, come from a breeder, rescue centre or turn up on your doorstep?*

How many people are there in your household? Are there any children?*

Does everybody interact with the cat?*

Does the cat have favourite person or people?*

Do you have any other animals? (please include their type, age and sex)*

How does your cat get on with your other pets?*

What do you feed your cat?*

How many times is s/he fed per day?*

Do you give any supplements?*

Does s/he enjoy their food or would you say they were fussy?*

Do yougive any titbits?*

Does your cat have any current medical problems to your knowledge?*

Do you know of any previous medical problems?*

Is s/he on any current medication?*

Does your cat have access to all areas of the house?*

Does he or she go outside?*

Is there free access outside? Is this via a cat flap?*

Is the cat allowed to go out at night, or just during the day?*

Does he or she tend to go out at night, or just during the day?*

Does he or she tend to go out for long periods of time? For how long approximately?*

Does s/he go far? For example, does s/he tend to just sunbathe on the doorstep, or go further afield?*

Where does he or she sleep at night and during the day?*

Does your cat have a scratching post? It so, where is it. and does s/he use it?*

Does the cat use a litter tray indoors? If so, what kind of litter do you use?*

How many litter trays do you have? Where are they positioned?*

Do you see your cat urinating or passing faeces in the garden/outside?*

Have you ever noticed you cat spraying inside or outside?*

Has the cat ever done this inside. Apart from in litter trays? If so, where?*

Have you ever noticed you cat spraying inside or on items of furniture *

Does the cat have any toys?*

Do you play with the cat?*

If so, for how long each day approximately?*

What games do you play?*

Does your cat tend to follow you about the house when you are at home?*

Does the cat sit on your lap?*

Does he/she sit on everybody's lap equally?*

Do you stroke the cat when it is on your lap?*

Do you ever have any problems doing this?*

Does your cat ever suck or chew on your clothes?*

If so, what type of material is preffered, and when does it happen?*

Does he or she ever suck or chew on anything else? If so, what and when?*

Are there other cats in the neighbourhood? For example, do your neighbours have cats?*

Do any other cats come into your garden?*

Do they, or have they ever, come into your house?*

Please use this file upload area to upload an image of a plan of your cat's territory. If you have an indoor cat, draw a plan of the house, and if an outdoor cat include the garden and/or surrounding area. As cats are such territorial animals, such plans are very useful for me in making an accurate diagnosis of your pet's problem. Please include, if possible: the site of the doors, cat flaps, feed bowls, sleeping places and litter trays. The site of inappropriate tolleting, spraying or chewing; your property boundaries, including what lies on the other side, such as other cats,

children, dogs, mainroad*

Describe the problems you are having with your cat in as much detail as possible (Please use the back of this page if necessary)*

What happens immediatley before your cat displays those behaviours? Try to think both what you are your cat are doing when the proble occurs.*

What happens immediately after? Again, think about what you do, and what the cat does.*

Whendid the problem begin? Can you remember the first tme it happened?*

How frequently, on average, does the problem occur? Do you think it is becoming more frequent or staying about the same?*

When does the problem occur? Is it in any particular circumstances?*

Where does it occur? Is it, for example, always in the same place?*

Who is usually present at the time, if anybody?*

Whenwas the last incident, and can you describe this?*

Have there been previous attempts to cure this problem? (if so, please describe)*

Does your cat have any other problems?

For example, is s/he nervous of ;

Children?*

Strangers?*

Any family members?*

Dogs?*

Loud Noises?*

Groom?*

Stroke?*

Pick up?*

Are there any other problems with the cat that you would like to discuss at the consultation?*

How much time do you feel able to commit to working with your cat to solve these problems*

What would you envisage happening if the behaviour problems persists?*

Thank youvery much for your co operation in filling in this questionnaire. If you have any queries please contact (07707) 219437.

Cat Behaviour Questionnaire