Cat Adoption Questionnaire

Feline Lucky Rescue - 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:*
Your Name:*

First NameLast Name
Email Address:*
example@example.com
Phone Number:*
Format: (000) 000-0000.
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your occupation:*
How many hours do you work?*
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.Format: (000) 000-0000.
Does your lease allow pets?*
How long have you lived here?*
List the names and ages of all adult members of your household, including yourself.*
List the ages of all children living in your household.*
Do you or anyone in your household have pet allergies?*

YesNoUnsure
How will/is this allergy managed?*
If you live with others, please describe their interest in adoption.
Are there other animals living in your household?*

YesNo
List the names, ages, species/breed of all animals living in your household.*
Check all that apply to the animals living in your household.*

Current on vaccinesSpayed/neuteredNone of the aboveNot sure
For each animal living in the home, what previous exposure have they had to cats and how do you anticipate they will do with a cat?*
How would you introduce these animals to the new cat?*
Have your had animals in the past? Please share about your history with animals. For animal companions no longer with you, please share what happened.*
Who will be the primary caregiver for the cat?*
Describe what a typical day will be like for the cat in your home.*
For example, where would the cat be during the day, where would the cat sleep, etc.
How many hours per day would the cat be alone?*
What is a reasonable amount of time for the cat to adjust to you and your home?*
What factors could cause you to return the cat?*
The cat will be...*
Cats can have emergencies and medical conditions that come with unexpected costs. How do you plan to handle medical expenses that may arise?*
Human emergencies happen too. What is your plan if you're no longer able to care for your pets? Please include details about your support system.*
For example, who has agreed to care for your pets long-term if you're no longer able to?
Have you surrendered or rehomed a pet to a shelter, rescue, or another individual?*

YesNo
Please describe the circumstances that led to that outcome.*
Have you ever been convicted of an animal related crime, such as cruelty, theft, or abandonment?*

YesNo
Have you ever declawed a cat?*

YesNo
Do you plan on declawing this cat?*

YesNo
Why are you looking to adopt?*

Companion for you/partnerCompanion for childrenCompanion for petReplace lost/deceased catOther
Please describe.*
Anything else you'd like to share?
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*
Date*

MonthDayYear
Date
PLEASE NOTE: After pressing "Submit" on this page, a document preview will open. Scroll down and click "Sign Document" to complete your questionnaire. Otherwise, your questionnaire is incomplete and will not be processed.

I understand.
How would/do they manage their allergy?
If you have to leave town, emergency or planned, where would your cat/kitten stay?*
Do you own any pets?*

YesNo
Pet Name(s) and Gender:
Pet Breed(s):
If yes, it there a limit? How much?
How would you introduce your pet/s to the new cat/kitten?
2 Personal References*
Pet's disposition and behavior towards cats?
Are you prepared to cover any medical expenses that your cat/kitten may incur over its lifetime?*
Check all that apply to your pet/s:

Current on vaccinesAre Spayed/neuteredNone of the above
Pet(s) Age:
Veterinarian Name:

First NameLast Name
Veterinarian Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
Who will be responsible for the cat/kitten's care (feeding, cleaning litter box, enrichment, taking to vet, etc)?*
Should be Empty:

Feline Lucky Rescue - Cat Adoption Questionnaire