Cat Behavior History Form
Your name
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Address
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Street Address
Mailing Address
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State
Zip Code
Phone Number
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Area Code
Phone Number
E-mail
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Pet name
Sex
Spayed Female
Neutered Male
Intact
Breed
Date of Birth
What age did you obtain your pet?
Where did you get your pet?
Was your pet intially:
Outgoing
Shy
Describe your home and property
Do you have high speed internet?
Yes
No
Who is your veterinarian?
Vet phone
When was your pet's last vet visit?
Declawed?
Yes
No
List any medications from the past 6 months to current
Summarize your pet's medical history
Do we have your permission to contact your veterinarian?
Yes
No
Exploring your pet's life.
Describe your exercise routine with the pet
What is your pet's favorite treat?
What brand of food do you feed?
Please list the toys your pet has
What commands does your cat know?
What tools have you used:
Clicker
Body Harness
Invisible Fence
Water Spray Bottle
Please list any training tool you are opposed to:
Please explain your opposition to the tools you listed
Please describe the type of litterbox and litter that currently used
Lets explore the main issues...
At what age did you first notice the issue?
Please describe the most recent event IN DETAIL
What was the cat's behavior immediately following the event?
What was your response?
What seemed to trigger the event?
Please describe any past events, in detail
How often does this behavior occur?
Has there been a recent increase in the behavior?
Yes
No
Have there been any changes in the home/family recently? Please describe
List any suggestions provided by other professionals, if applicable
Have you considered rehoming the pet?
Yes
No
Please provide any other information you feel might be helpful
What would you like to see at the end of your behavior work?
How did you hear about us?
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After reviewing your information, we will reach out to schedule a discovery session.
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