Incoming Cat Profile
Please be honest while filling out this form so we can find the best outcome for your cat.
Part 1: Household
Your name:
*
Your home address:
*
Phone number:
*
Your email address:
Cat's name:
*
What gender is your cat?
*
Female
Male
I don't know
Cat's age
How long have you had your cat?
What is your reason for surrender?
*
What would need to happen in order for you to keep your cat?
*
Where did you get your cat?
*
FWACC
Other Shelter
Friend/relative
Gift
Own Litter
Craigslist
Found Stray
Breeder
Pet Store
Other
Describe your household.
Quiet
Active
Noisy
Are there other animals in the home?
*
Yes
No
What types of animals has your cat been around?
Cats
Dogs
Other
How many other cats has your cat been around?
How many dogs has your cat been around?
How does your cat act or behave around the following. Check all that apply.
Rows
Friendly
Cautious
Fearful
Submissive
Tolerates
Aggressive
I don't know
Children
Strangers
Other Cats
Dogs
What other information should we know about your cat's interactions with animals and people?
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Next
Part 2: Medical History
Does your cat see a veterinarian on a regular basis?
Yes
No
What veterinarian office does your cat go to?
Does your cat have any present or past medical conditions?
Yes
No
What medical conditions does your cat have?
Is your cat currently on any medications or special diets?
Yes
No
Please list medications or special diet.
Is your cat spayed or neutered? (Did your cat have an operation so it can't have babies?)
Yes
No
I don't know
Is your cat declawed?
Yes, front and back declawed
Yes, just front declawed
No
What type of food does your cat eat? (Check all that apply)
Dry
Wet
Both
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Part 3: Litterbox History
Does your cat always use the litterbox?
Yes
No
How often does your cat NOT use the litterbox?
Uses the litterbox at least once a day
Uses the litterbox maybe once a week
Uses the litterbox maybe once a month
Never uses the litterbox
What type of litter does your cat use?
Clay
Scoopable
Crystal
Other
How many litterboxes are available?
1
2
3
More than 3
How often are the litterboxes cleaned?
Daily
Every other day
Weekly
Monthly
Other
Is the litterbox...
Open
Covered
Self-cleaning
Top entry
Other
Where is the litterbox located in your home?
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Part 4: Behavior
Check all that describe your cat's personality:
Playful
Couch potato
Talkative
Affectionate
Destructive
Shy
Aggressive
Independent
Has your cat ever bitten?
Yes
No
Please describe the time your cat has bitten in as much detail as possible.
Did the bite break skin?
Yes
No
Where does your cat live?
Indoor only
Outdoor only
Indoor/Outdoor
Other
Does your cat like to be held?
Yes
No
Does you cat like to be picked up?
Yes
No
Is your cat a lap cat?
Yes, often
Yes, sometimes
Rarely
Never
How does your cat play?
Gentle
Somewhat rough
Very rough
Does not play
What is your cat's best quality?
What is your cat's worst quality?
Please list any other information it's important for us to know about your cat!
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