Cat Adoption Form & Questionnaire

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I am interested in:
pets name
YOUR LIFESTYLE
_____________
1. What do you do for work?
Part-time
Full-time
2. How many hours per day are you home?
____
CAT ADOPTION FORM & QUESTIONNAIRE
3. Do you have the ability to check on your pet during your shift?
Yes No
Name:
4. What do you do for fun? _
______
5. What kind of activities would you like to do with your pet?
Address:
City:
Postal Code:
6. How often do you and your family like to travel? Would your
pet be included in your vacations? (i.e camping, cabins, etc.)
Telephone:
Cell:
GENERAL INFORMATION
Email:
1. Who will have the primary responsibility for this cat?
DL/ID:
Birthdate:
( mm/ dd/ y yyy)
2. Have you had cats before? Yes
No
YOUR FAMILY
3. What happened to them?
1. Who are you adopting this cat for?
Myself
Other:
4. Have you surrendered or given away a pet? Yes
No
2. Number of adults (18 + years) at home:
If yes, please provide the reason:
3. Number of children at home:
0 – 7 years
8 – 17 years
4. Any visiting children?
Yes
No
5. Will you have this cat declawed? Yes
No
5. Any allergies to cats in the family? Yes
No
6. Approximately how much do you think your cat will
cost you per year?
6. How busy is your family’s schedule?
Very busy
Busy
Not busy
Vet/medical
Food
Boarding
Litter
7. How would you describe yourself?
Nervous
Loud
Calm
Quiet
YOUR PETS
9. Are you planning on the following in the next month?
Moving
Holiday
Change in schedule
1. Are there other cats in your household? Yes
No
If yes, please list them:
10. Where will your cat stay during holidays?
Name
Breed
Age
Sex
Fixed?
At home with care
Boarding
Other
Yes No
Yes No
YOUR HOME
1. What type of home do you live in?
How are they with other cats?
Acreage
House
Apartment
Not sure
Friendly/Playful Afraid
Other
2. Do you: Own
Rent
2. Do you have other pets in your household? Yes
No
We require a copy of your lease agreement if you rent, or
If yes, please list them:
proof of house ownership if you own.
Name
Type
Age
Sex
Fixed?
Checked by the GP SPCA Yes, please initial:
Yes No
3. Outside areas?
Yes No
Balcony
Patio
Yard
How are they towards cats?
4. Where will your cat stay during the day?
Friendly/Playful Afraid
Not sure
Other
Inside
Outside
Other
3.
If you place a deposit on an animal and don’t pick it up within 48
5. Where will your cat sleep at night?
hours of being spayed or neutered you will lose your deposit and
Inside, please specify
Outside
the animal will be up for adoption again. Please initial once read.

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