Cleveland Community Cat Project Adoption Survey
Applicant name
First Name
Last Name
Applicant age
*You must be 21 years of age or older to adopt from Community Cat Project. You will be required to show ID upon adoption to confirm your name and age.
Email
Phone number
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Do you rent or own your home?
Rent
Own
Other
Are there restrictions on animal ownership at your residence?
Yes
No
If yes, please explain:
(i.e., restricted number of pets, weight, species, etc.)
Which cat(s) are you interested in?
When are you prepared to adopt?
Within two days
Within one week
Within one month
More than one month
What is the soonest date you would be available for an adoption visit?
/
Month
/
Day
Year
Please list all of your current pets:
Species
Breed
Age
Years in your care?
Fixed?
Vaccinated?
Lifestyle?
Cat
Dog
Bird
Reptile
Small animal
Other
Indoor only
Indoor/outdoor
Outdoor only
Cat
Dog
Bird
Reptile
Small animal
Other
Indoor only
Indoor/outdoor
Outdoor only
Cat
Dog
Bird
Reptile
Small animal
Other
Indoor only
Indoor/outdoor
Outdoor only
Cat
Dog
Bird
Reptile
Small animal
Other
Indoor only
Indoor/outdoor
Outdoor only
Cat
Dog
Bird
Reptile
Small animal
Other
Indoor only
Indoor/outdoor
Outdoor only
Cat
Dog
Bird
Reptile
Small animal
Other
Indoor only
Indoor/outdoor
Outdoor only
Please list all other members of your household:
Relation
Age
1
Partner
Child
Sibling
Parent
Other relative
Roommate/housemate
Other nonrelative
2
Partner
Child
Sibling
Parent
Other relative
Roommate/housemate
Other nonrelative
3
Partner
Child
Sibling
Parent
Other relative
Roommate/housemate
Other nonrelative
4
Partner
Child
Sibling
Parent
Other relative
Roommate/housemate
Other nonrelative
5
Partner
Child
Sibling
Parent
Other relative
Roommate/housemate
Other nonrelative
6
Partner
Child
Sibling
Parent
Other relative
Roommate/housemate
Other nonrelative
7
Partner
Child
Sibling
Parent
Other relative
Roommate/housemate
Other nonrelative
I would like a cat suited to living...
Indoor only
Indoor at night/outdoor during day
Indoor during day/outdoor at night
Outdoor only
Other
What qualities are you looking for in your new cat?
Affectionate
Playful
Independent
Mellow
Smart
No health issues
Declawed
Good with other cats
Good with dogs
Good with children
Other
It's most important to me that my new cat is...
type your response
What topics would like to learn more about, if any?
Introducing your new cat to existing pets
Introducing cats to young children
Allergies
Scratching behavior
Indoor/outdoor lifestyles
Microchipping
Harness training
Feeding and nutrition
Preventive veterinary care
Veterinarian recommendations (including low-cost options)
Kitten playtime/exercise needs
Pet insurance
Other
Do you have any other preferences or comments you would like to share?
Submit
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