PAWS FOR PROGRESS CAT Questionaire

Paws for Progress

Pawsladonia@gmail.com
PAWS FOR PROGRESS Cat Questionaire
CAT ADOPTION QUESTIONNAIRE
It is our policy to make certain that each person who adopts a dog/cat is aware of the responsibilities of pet guardianship, and is capable of and willing to accept those responsibilities morally, physically and financially. Not every person who desires to adopt a dog/cat should do so. By completing this questionnaire, you will aid us in determining if you and your family are indeed ready for pet guardianship, and if the dog/cat of your interest would suit you and your lifestyle. Should you agree that adopting a pet is a commitment throughout the lifetime of your companion animal, please fill out this questionnaire.
Name of CAT OF INTEREST*
PERSONAL INFORMATION
Name
Age
Street address
City
State
Zip
Home phone
Format: (000) 000-0000.
Work phone
Format: (000) 000-0000.
Cellular phone
Format: (000) 000-0000.
email
example@example.com
Occupation
Work schedule hours
Spouse/Significant Other
Email
example@example.com
Spouse/Significant Other's occupation
Spouse/Significant work hours
How many hours out of the day would you pet be alone?
If you travel, please specify arrangements for your pets while you are gone.
Who would be primary person responsible for the pet?
List of all persons living in your household, their relationship to you and their ages
Do any household members have allergies to animals?

YesNo
Please list two personal references and their relationship to you:
Name*
Relationship
Email*
example@example.com
Phone*
Format: (000) 000-0000.
Name*
Relationship
Email*
example@example.com
Phone*
Format: (000) 000-0000.
YOUR HOME
Type of Dwelling

HouseApartmentCondoOther
If renting, what are the association/owner rules about pets?
If not a homeowner do you have the landlords permission to have a cat?
Landlords name
Phone
Format: (000) 000-0000.
Email
example@example.com
Does your Home have a Pool?

YesNo
Do you currently own any pets?

YesNo
CURRENT DOG(s)/CAT(s)
Please list any pets currently living in the household. Include breed, age, sex, spayed/neutered, disposition with other dogs/cats
How would you introduce your current pets to your new cat? How would you introduce your new cat to a current resident dog who has never been around cats?
Family Veterinarian *
Clinic/Hospital Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone*
Format: (000) 000-0000.
**If the pet you are adopting is not old enough for spay/neuter, within 30 days of being of age, we will send your veterinarian (stated above) a Certificate of Sterilization form to be filled out by the veterinarian and submitted back to us. If you choose a different veterinarian or clinic, please provide contact information to Paws for Progress via email pawsladonia@gmail.com**
Confirmation Signature that your pet will be sterilized within 30 days of being of age.
What is your primary reason for wanting to adopt a cat?*

CompanionEmotional Support Animal
Paws for Progress will only adopt cats to homes where the cat would be strictly an indoor cat. Do we have your word that this cat will be indoors only and never be released outside intentionally?

YesNo
Where would the cat be when left if you are not at home?

IndoorsCrate indoorsOutdoor on propertyOutdoor Kennel
Do you allow cat's on the furniture?

YesNoType option 3
If you have to move and cannot take your pets with you, what provisions will be make for the your pets?
Under what circumstances would you decide that you can no longer keep your cat?

DivorceIllness in familyMovingNew BabyNew JobHousetraining problemsChewingAllergyCat becomes ill/oldSheddingNot getting along with other house petsWould not give up for any of the above
If your cat becomes destructive in your home, what would you do?
If your cat has accidents in the home, what would you do?
If your new cat shows separation anxiety, what would you do?
If your cat becomes agressive towards people or other pets, what would you do?
What are your beliefs on declawing a cat? And would you ever consider?
If you cat becomes ill or injured, are you financially prepared to care for the animal?

YesNo
Your cat could live 12+ years, what provisions will you make if you are physically or finacnially unable to care for your pet?
Is there anything else you would like us to know about you?
Would you allow an inspection of your home by a rescue volunteer?

YesNo
Questionnaire Information: All of the information I have provided in this Questionnaire is true and correct. If any of the information changes, I will advise you promptly.
Signature*
Date*

MonthDayYear
Date
Print Name
Should be Empty:

PAWS FOR PROGRESS Cat Questionaire

CAT ADOPTION QUESTIONNAIRE

PERSONAL INFORMATION

YOUR HOME

CURRENT DOG(s)/CAT(s)