Cat Adoption Questionnaire

Cat Adoption Questionnaire

Thank you for your interest in adopting from Feline Lucky Rescue! Please provide the following information to help us assist you in selecting a compatible cat/kitten. This information will help us match a cat/kitten with your lifestyle and ensures the adoption is in the best interest of our cats and kittens!
Name of desired cat/kitten:*
Perspective Pet Parent:*

First NameLast Name
Email Address:*
example@example.com
Phone Number:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your occupation:*
How many hours do you work?*
Do you own any pets?*

YesNo
Pet Name(s) and Gender:
Pet Breed(s):
Pet(s) Age:
Check all that apply to your pet/s:

Current on vaccinesAre Spayed/neuteredNone of the above
Pet's disposition and behavior towards cats?
How would you introduce your pet/s to the new cat/kitten?
Veterinarian Name:

First NameLast Name
Veterinarian Phone Number:
Please enter a valid phone number.
Do you own or rent your home?*

OwnRent
Residence type:*

HouseCondoApartment
Landlord Name:*

First NameLast Name
Landlord Phone Number:*
Please enter a valid phone number.
How long have you lived here?*
Who resides in your household?*
Are there children in the home? (If yes, please list ages)*
Is anyone in your household allergic to animals?*

YesNo
How would/do they manage their allergy?
Where would your cat/kitten stay during the day? During the night?*
How many hours per day would the cat/kitten be alone?*
Who will be responsible for the cat/kitten's care (feeding, cleaning litter box, enrichment, taking to vet, etc)?*
What amount of time do you think is reasonable for your cat/kitten to adjust to you and your home?*
What problems would cause you to return this cat/kitten?*
Will your new cat/kitten be indoors or outdoors?*
If you have to suddenly move, what is your plan for this cat/kitten?*
If you have to leave town, emergency or planned, where would your cat/kitten stay?*
Are you prepared to cover any medical expenses that your cat/kitten may incur over its lifetime?*
If yes, it there a limit? How much?
2 Personal References*
Have you ever surrendered a pet you own to any animal shelter or rescues or rehomed a pet?*

YesNo
Please explain:
Have you ever been convicted of an animal related crime, such as cruelty to animals, animal theft, or animal abandonment?*

YesNo
Have you ever declawed a cat?*

YesNo
Do you plan on declawing this cat/kitten?*

YesNo
Why are you looking to adopt?*

Companion for you/partnerCompanion for childrenCompanion for petReplace lost/deceased catOther
Please explain:
I understand that cats live 15-20 years and that adopting a cat/kitten is a lifelong commitment.*

YesNo
How did you hear about us?*
I certify that all of the above information is true and accurate. I understand that if I adopt a pet from Feline Lucky Rescue, this document will become part of the adoption record. I also understand that completion of this questionnaire does not guarantee the adoption of a Feline Lucky cat.*

YesNo
Signature of Potential Pet Parent*

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