San Diego Humane Society

Pet Guardianship Questionnaire: Cat

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Question - Required - Today's Date:




  YOUR INFORMATION

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Name:

 

 

 

     

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City/State/ZIP:

 

    

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YOUR CAT'S INFORMATION

 

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Question - Required - Cat's Gender:


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Question - Required - Where did you acquire this cat?











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Question - Required - Does your cat have a preference for:

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Question - Required - How would you describe this cat, in general?

 

 

BEHAVIOR INFORMATION

 

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Question - Required - How does this cat behave with ADULT members of the household? Select all that apply:

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Question - Required - How does this cat behave with CHILD members of the household? Select all that apply:

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Question - Required - How does this cat behave with ADULT visitors to the home?

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Question - Required - How does this cat behave with CHILD visitors to the home?

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Question - Required - How does this cat behave with ADULT strangers? Select all that apply:

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Question - Required - How does this cat behave with CHILD strangers? Select all that apply:

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Question - Required - What makes your cat anxious or worried, or causes it to behave in a different manner than usual?

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Question - Required - What type of surface does this cat prefer to scratch on?

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Question - Required - When scratching, does this cat prefer surfaces that are:

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Question - Required - Does this cat display predatory behaviors?

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Question - Required - This cat's energy level is:





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Question - Required - Does this cat have any areas it prefers not to be touched?

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Question - Required - This cat is most active:




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Question - Required - Does this cat display any of the following "don't pet me" behaviors?

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Question - Required - Describe your cat's play intensity:






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Question - Required - Activities you do with your cat:

 

 

HOUSING AND FEEDING INFORMATION

 

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Question - Required - This cat is an:



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Question - Required - Where is this cat when you are HOME?






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Question - Required - Where is this cat when you are OUT?






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Question - Required - Where does this cat sleep at night?

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LITTER BOX INFORMATION

 

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Question - Required - What room(s) is the litter box in?

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Question - Required - Type of litter box:

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Question - Required - Type of Litter:

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Question - Required - How much litter?




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Question - Required - What items, if any, are near the litter box?

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Question - Required - When does this cat have accidents?

 
Question - Not Required - Accidents Are:



 


 

 
Question - Not Required - Are accidents:

 
Question - Not Required - Soiled Surfaces:

 

 

 

VETERINARY INFORMATION

 

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Question - Required - Is this cat de-clawed?




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Question - Required - Has this cat been vaccinated for:

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Question - Required - Has this cat been diagnosed with:

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Question - Required - How does this cat behave at the vet's office?

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ADDITIONAL INFORMATION

 

 

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