Cat Pre-Adoption Questionnaire

The purpose of this form is to evaluate candidates wishing to adopt a pet, and to find the best possible match. We reserve the right to deny any application and to share information with other animal welfare organizations.

Which Feline(s) are you interested in?  
Invalid Input

About yourself:
First Name
Invalid Input
Last Name
Invalid Input
Address
Invalid input
City
Invalid Input
State
Invalid Input
Zip/Postal
Invalid Input
Home Phone
Invalid Input
Work Phone
Invalid Input
Your Email
Invalid Input
Driver's License #
Invalid Input

1. What is your primary reason for adopting a cat?
Invalid Input
Other
Invalid Input

2. Who shares your household?
 





Invalid Input
Children's Ages
Invalid Input
Other
Invalid Input

3. Are all members of the household aware of, and in agreement with owning a cat?
Invalid Input

4. Type of dwelling:
Invalid Input
Other
Invalid Input
If you live in an apartment/condo, what floor?
Invalid Input

5. Do your doors/windows have screens?
Invalid Input
If yes, how old are the screens?
Invalid Input

6. Do you have a "dog door"?  
Invalid Input

7. Are you legally permitted to have cats where you live?
Invalid Input 
Landlord Contact Number
Invalid Input 

8. About how many hours will the cat be left alone each day? 
Invalid Input 

9. Who will be responsible for the care of the cat? 
Invalid Input 

10. Where will the cat sleep? 
Invalid Input 

11. Will the cat be: 
Invalid Input

12. Do you plan to ever have the cat surgically declawed?  
Invalid Input

13. How will you discipline the cat for misbehaving?
 





Invalid Input 
Other
Invalid Input 

14. How long do you plan to keep the cat you wish to adopt?  
Invalid Input 

15. What do you think the normal life span of a cat is?  
Invalid Input 

16. Do you consider a cat
Invalid Input

17. Under what circumstances might you not keep the cat?
 










Invalid Input
Other
Invalid Input

18. Do you plan to feed your cat
Invalid Input

19. Do you plan to buy
Invalid Input
Which brand(s) do you plan to feed the cat that you adopt? 
Invalid Input

20. Do you have a vet? 
Invalid Input
Name and Phone Number of vet 
Invalid Input

21. Are you willing and able to provide quality medical care? (i.e. yearly vaccinations, treatment for illness or injury)? 
Invalid Input

22. Have you ever owned a cat? 
Invalid Input

23. If Yes, what is the current status of the cat? 
Invalid Input

24. If deceased, at what age and from what?  
Invalid Input

25. Do you have other pets now?
 



Invalid Input
Other pet
Invalid Input

26. If you currently have pets, are they spayed and neutered?
Invalid Input

27. If you currently have pets, are they
Invalid Input

28. Please provide the names and phone numbers of three references:
Name
Invalid Input
Phone
Invalid Input
Name
Invalid Input
Phone
Invalid Input
Name
Invalid Input
Phone
Invalid Input

29. Would you object to a home visit by one of our volunteers?
Invalid Input

Please enter the characters in the field
Please enter the characters in the field
  Refresh
Invalid Input