Cat Adoption Survey

FieldHaven Cat Adoption Survey

`Thank you for completing this form which helps us help you find the best match for your family.
We are open for walk-in adoptions at FieldHaven and FieldHaven Marketplace. However, please make sure to fill out a survey with the specific feline(s) you're interested in so we can direct you to the correct location or schedule an appointment for you.

FieldHaven Hours:

Thursday, 12 pm - 5 pm and Saturday 11 am - 3 pm. Other days by appointment.

FieldHaven Marketplace

Thursday-Saturday 10:00 am - 5:00 pm, Sunday, 11:00 am - 4:00 pm

We strive to respond to your email the same day that we receive it, but it may take us up to 72 business hours to respond due to our large volume. Thank you so much for your patience.

Thank you!

– The Adoption Team
Personal Details
Full Name *

First Name Last Name
Home Address *

Street Address

Street Address Line 2

City State

Zip Code
Email Address *
Cell Phone Number *

Area Code Phone Number
Home Phone Number

Area Code Phone Number
What is your preferred communication method?
About You and Your Family

Please describe yourself and your family.
How many people are in your household? *
If you have children, what are the ages? *

0-2 years old 2-5 years old 5-10 years old 10+ years old No children
How experienced are you with interacting with/caring for cats? *

Newbie (My first cat) A little experience (Have had a few cats) Expert (Can't count how many I've had!)
How would you best describe the activity level in your home. *

Quiet/Tranquil Moderately Busy Non-Stop Activity
What pets do you currently have? *

Cat(s) Dog(s) No Other Pets
My new kitty will live: *

Indoors Indoors/Outdoors Outdoors
If you intend to let the cat outside, please explain the amount of time it will be outdoors and what type of environment it will be in (ex. Catio, busy street, residential, farm, barn, ect.) *
Is there anyone in your home who is allergic to cats? (We can provide tips to minimize allergic reactions)

Yes No Not sure
Are you interested in adopting (check all the apply) *

Kitten(s) Adult cat (s) Senior cat (s) Special needs
Please list the name of the cat that you are interested in meeting. (most kittens and cats are in foster so please add them in a list of your first priority) *
Name of your current Veterinarian (We can provide recommendations as well as a free exam)
Any other information you would like to provide or any questions you have?
I'm not a robot *
We will contact you within 3 business days. If you have any questions, please contact us at (916) 434-6022

By completing this form you agree to receive periodic email communication from FieldHaven Feline Center. You may unsubscribe at any time by clicking on the "unsubscribe" link at the bottom of any email.
Follow Up

for Internal Use
Comments
Status

Open Adopted - note who adopted in notes below Pending - still looking for a match Denied Adoption - explain below Adopted elsewhere
Date Application Closed

Month Day Year
Date
Should be Empty:

FieldHaven Cat Adoption Survey

Personal Details

About You and Your Family

Follow Up