Pre-Adoption Questionnaire
Date
/
Month
/
Day
Year
Date
CAT INFORMATION: What cat(s) are you interested in adopting?
ABOUT YOU AND YOUR FAMILY
Your Name
Partner Name
Address
Address
Street Address Line 2
City
State/Zip Code
Postal / Zip Code
Email
example@example.com
Primary Phone Number
Occupation
Alternate Phone Number
Employer
Partner/roommate occupation
Employer
Number of adults in home (over 18 years)
Number of children in home & ages
HOUSING
Landlord Contact
Rental Pet Policy
HOUSING
Apartment
Own
Condo
Rental
House
Other
Does anyone in the household have allergies to cats or dogs?
No
Yes
PREFERENCES
–
What are you looking for in a cat?
Looking for an indoor cat
Looking for an outdoor cat
Are you considering declawing the cat?
YES
NO
What are you looking for in a cat? look, gender, age, personality, etc
CURRENT/FORMER ANIMALS
Will this be your first time owning a cat?
Yes
No
Do you have a regular veterinarian?
Yes
No
Name of vet/clinic
List your animals and details about them
Cat/Dog
Breed
Sex
Age
How long did you own?
What happened to them?
Altered?
Vaccines Current?
Indoor or outdoor?
Pet 1
Pet 2
Pet 3
Who will be primarily responsible for the cat?
How many hours a day will you be away from home?
Where will the cat be during the day?
Where will the cat be during the night?
Who will care for the cat when you are away for extended periods?
Who will care for the cat if you are no longer able to care for the cat?
Signature
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