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.
A note from the Adoption Team (3/10/2021): Please only submit your adoption survey one time. Someone from the Adoption Team will contact you within 72 hours of receiving your survey. Surveys are reviewed in the order they are received.

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? *
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) No Other Pets
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 list the name of the cat that you are interested in meeting. *
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 with 3 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
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
Comments
Should be Empty:

FieldHaven Cat Adoption Survey

Personal Details

About You and Your Family

Follow Up