WCAS Cat Surrender Questionnaire
In order for WCAS to determine the placement needs of your pet that you are looking to rehome, please be sure to answer the following questions truthfully and in detail.
General Information
Name of Legal Owner
First Name
Last Name
Is the legal owner a resident of Waushara County?
Yes
No
If the legal owner is NOT a resident of Waushara County, where do they live?
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What is your preferred contact method?
Phone Call
Email
Text
Cat & Household Information
What are the steps that you have already taken to try and rehome your cat? (Facebook rehoming groups, asked family and friends, etc.)
Cat's Name:
Sex of Cat:
Female
Male
Spayed Female
Neutered Male
Age or Estimated Birthday:
Breed:
Is your cat declawed?
No
Yes, just the front claws.
Yes, just the back claws.
Yes, all four paws are declawed.
Where did you get your cat? If you got your cat from another shelter or breeder, have you contacted them to see if they would like the cat back?
What specifically influenced the decision to surrender/rehome your cat?
If we could help your or provide you with resources, would you consider keeping your cat?
Yes
No
Maybe, I'd like to talk to someone more about it.
What household members has your cat lived with?
Adult Men
Adult Women
Elderly Women
Elderly Men
Teenagers
Children
Toddlers/Infants
Other
Would you recommend your cat going to a home with children? If yes, what ages would be appropriate?
Describe your household:
Busy/Active/Noisy
Average
Quiet
What other animals has your cat lived with?
Male Cats
Female Cats
Dogs
Small Mammals
Other
How does your cat behave around other cats?
Genuinely enjoys other cats!
Is never around other cats.
Likes some cats, but not all.
Ignores/Indifferent
Shy/Timid
Other
Does your cat ever urinate or defecate outside of it's litter box?
What vaccinations is your cat current on that you can provide documentation for?
Feline Distemper
Feline Leukemia
Rabies
Unknown/No Vaccination History
What veterinary clinic do you take your cat to for medical care?
Does your cat have any previous or current medical conditions/diagnoses or health concerns?
Has your cat ever bitten/scratched a person or another animal?
Yes
No
If your cat has ever bitten/scratched a person or another animal, please describe the circumstances surrounding the incident.
What do you love most about your cat? What are some fun personality traits about them?
Please upload a photo of your cat.
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Signature
Date
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Month
-
Day
Year
Date
Thank you for filling out our cat surrender questionnaire!
Our shelter coordinator will be in touch with you within 48 to 72 hours. If you are experiencing an urgent situation and need immediate assistance, please reach out to WCAS at (920) 279-9795.
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