Adoption Application and Questionnaire

Furever Saved, Inc. Online Application
QUESTIONNAIRE FOR ADOPTION

WE RESERVE THE RIGHT TO REJECT
www.fureversaved.org

NAME OF CAT

Foster Parent's Name

Your Name

Age of Adopter

Address

Street Address Line 2

City/State/Zip

Telephone: Home

Format: (000) 000-0000.

Work

Cell

Are you planning to move in the next 6 months?

Your Email Address

example@example.com

Employer

Occupation

Time with this Employer

Do you Rent

Own

Name of Development or Complex

What floor do you live on?

Do you have a balcony or patio?

Is it completely screened?

Landlord's Name

Landlord's Phone Number

Format: (000) 000-0000.

Do you have permission to have a cat?

If you have a pet deposit, what is the amount?

List other adults living in your home

How many children live in your household?

What are the ages of these children?

Why are you interested in adopting a cat?

Are other members of your household in agreement about adopting a cat?

you or someone in your household gets pregnant, what will you do with this cat?

Does anyone have allergies or asthma?

Does anyone in your household smoke?

How many other animals live in your house or yard?

Type of animals

Are they spayed or neutered?

Have you ever had a cat?

Where is that cat now?

If you have a cat. do you have a litterbox?

Do you plan to have a litterbox?

Are your other animal's vaccines current?

Have your cat(s) been tested for Leukemia & FIV?

Vet's Name

Vet's Phone

Format: (000) 000-0000.

Where will this cat sleep?

Do you plan to declaw your cat?

What do you expect to pay for Vet care yearly?

Do you plan to keep your new cat indoors only?

Outdoors?

Both?

What would you do if your cat develops a medical or behavioral problem?

Have you ever surrendered an animal to a shelter or rescue agency?

If yes, why?

What reason would compel you to give an animal up?

Would future housing decisions ensure you could take your pets? ensure you could take your pets?

How many hours a day would you spend with your cat?

Do you plan to feed your cat:

Moist

Dry

Both

If you travel, who will provide for this cat while you are traveling?

If for any reason you become unable to care for this cat, do you have a friend or family member who would adopt this cat?

Person's name

Person's phone number

Format: (000) 000-0000.

Signature

Date

Volunteer's Notes

Initials