New Patient - Feline Behavioral History

  • Behavior Assessment - Feline

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  • Overview

  • Format: (000) 000-0000.
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  • Acquisition & Early History

  • How did you acquire this cat?*
  • If there were aggressive behaviors, what was the result to the victim? (Check all that apply)*

  • Medical History

  • How would you describe your cat's appetite? Select all that apply.*
  • Rows
  • From the list below, please check any ailments your pet has experienced within the last year.*
  • Does your pet have a relationship with any of the following veterinary specialists?*

  • Household & Daily Life

  • Rows
  • Rows
  • In what sort of home do you and your pet reside?*
  • How would you describe the energy in your home?*
  • Have you owned a cat in your adult life prior to this one?*
  • How do you feed your cat?*
  • Do you need to be present for your cat to eat?*
  • Is your cat allowed outside?
  • Do you have a yard? If yes, check all that apply:*
  • Is there any time each day dedicated to play or exercise?*
  • Is your cat playful?*
  • Is your cat affectionate or cuddly with people in the home?*
  • Is your cat affectionate or cuddly with visitors to the home?
  • If you have multiple cats, do you ever see them snuggling or grooming each other?
  • Does petting (from a human) or grooming (from another cat) ever result in aggressive episodes?
  • If you have multiple cats, do you ever see one hissing, swatting, and running away from another?
  • Does your cat like to scratch?*
  • Do they scratch inappropriate items?*
  • Any inappropriate chewing or consumption of non-food items?*
  • Do you record or monitor your pet when they are home alone?*
  • Does your cat exhibit any of the following behaviors as you are preparing to leave or once you are gone?*

  • Training & Learning History

  • How would you describe your cat's ability to learn?*
  • Is there any specific time devoted to training each day?*
  • Have you ever worked with another behavior specialist or trainer?*

  • Litterbox & Elimination Habits

  • Is/are your litterboxes covered?
  • Describe your cat's digging behavior:
  • Do you ever see your cat quickly running from the litterbox after eliminating?
  • Does your cat ever urinate outside the litterbox?
  • Does your cat ever defecate outside the litterbox?

  • Miscellaneous Behaviors

  • Rows
  • Rows
  • Any distress associated noises, storms, or fireworks?*
  • Does your cat demonstrate any inappropriate sexual behavior?*
  • Is your cat protective of any part(s) of their body?*
  • Does your cat ever demonstrate any of the following behaviors?*

  • Perspective & Expectations

  • Using the scale below, how would you rank your cat's overall behavior? 1 meaning the cat needs to be out of the house ASAP and 10 meaning they are perfect and nothing needs changing.*
  • Should be Empty: