AWW Cat Matchmaker Questionnaire

A.W.W. Cat Matchmaker Questionnaire
Applicant Information
Name of the cat you are applying for:*
Today's Date:*

MonthDayYear
Date
Your Name:*

First NameLast Name
Street Address:*
City:*
State:*
Zip Code:*
E-mail:*
Primary Phone #:*

Area CodePhone Number
This # can...*

CallText
Preferred Method of Contact:*
How many adults live in the home?*
What are the relationship(s) between adults:*
How many children are in the home?*
What are the children's ages?*
Do any members of your household (including you) have allergies to cats?*

YesNo
Do you live in a/n...*

ApartmentTown HouseCountry HouseSuburbsDuplexCondoMobile HomeOther
Do you...*

OwnRent, and I understand and am aware of what my pet policy restrictions are.
Please list all pets that currently live in your household if applicable. Please include the type of pet, age, sex, if it’s spayed/neutered or not, and where the pet is kept. Write “N/A” if no pets:*
Are these pets up to date on their vaccinations?*

YesNoN/A
What is the name of the veterinarian/clinic you currently/plan to use? Please include the city and state it's located in.*
How did you find A.W.W.?*
Is this your first cat/kitten?*

YesNo
In A.W.W.’s area of service, the average annual cost of care for a cat is $600+. Are you comfortable with this?*

YesNo
Are you familiar with the pet laws in your area?*

YesNo: We advise looking up your area’s ordinances regarding pets.
Where will your cat be housed during the day?*
Where will your cat be housed during the night?*
Where will your cat be housed when it's home alone?*
Where/how will your cat be cared for when you go on vacation?*
Where/how will your cat be cared for when you have to go away during an emergency?*
Do you plan to let your cat outdoors?*

NoOnly while supervisedOnly while on leashYes, unsupervised/free roam but in at nightYes, 24/7
How long would you be willing to wait for a cat/kitten to adjust to your home?*
Have you ever owned a declawed cat before?*

YesNoN/A
Do you intend to declaw the next cat you get?*

YesNo
Are you looking for a cat that can exterminate vermin, like mice?*

YesNoMaybe
How much time do you think you will be able to and want to spend with your cat/kitten? *
Who will be the primary caregiver of the cat/kitten?*
Who will spend the most time with the cat/kitten?*
Are you open to a cat/kitten with chronic special needs? (ex. Specific diet, chronic illness, amputation, etc.)*

YesNoMaybe
Are you open to a cat/kitten with short-term special needs? (ex. Ringworm, antibiotics, injury recovery, etc.)*

YesNoMaybe
Are you open to a pair of kittens or a bonded pair of cats?*

YesNoMaybe
What is the most important thing you’re looking for in a cat/kitten?*
Is there anything that you would find unacceptable in a cat/kitten?*
Is there anything you’re concerned about regarding adopting a cat/kitten from A.W.W.?*
*Please feel free to contact A.W.W. with any questions or concerns about your new pet after adoption*
Terms of Agreement

I grant A.W.W. permission to confirm any information provided in this questionnaire with any appropriate third party source, including landlords, veterinarians, public court records, etc. I certify that all information on this application is true and accurate, and I understand that if any false information, omissions or misrepresentations are discovered, my ability to adopt from A.W.W. may be rejected. It is understood that A.W.W. reserves the right to deny any adoption request at its own discretion. I also understand that this matchmaker questionnaire is the sole property of A.W.W.

I certify that I agree to the above terms by signing below.
Today's Date:*

MonthDayYear
Date
Your Name:*

First NameLast Name
Your Signature:*
Should be Empty:

A.W.W. Cat Matchmaker Questionnaire

Applicant Information