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.
Personal Details
Email Address *
Full Name *

First Name Last Name
Home Address *

Street Address

Street Address Line 2

City State

Zip Code
Phone Number *

Area Code Phone Number
About You and Your Family

Please describe yourself and your family.
How many people are in your household? *
Ages of children (if applicable)
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)
My new kitty will live: *

Indoors Indoors/Outdoors Outdoors
Is there anyone in your home who is allergic to cats? (We can provide tips to minimize allergic reactions) *

Yes No Not sure
Please include any other information you'd like us to consider to help make the best match possible.
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? Is there a particular kitty you would like to meet?
I'm not a robot *
We will contact you shortly. 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.
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FieldHaven Cat Adoption Survey

Personal Details

About You and Your Family