Cat Tail Kitties Screening Form
Adoption Information
Name Date
Address: City
State Zip Birth date
Home Phone Cell Phone Work
E-mail address ~
How long have you lived at the above address?
- How long have you been looking for a cat?
- Do you plan on moving?
- Do you own your own home? Rent?
- If renting, list landlord’s name and phone number.
- Do you live in a house? Condo Apt Mobil Home
- Are you currently employed? Occupation?
- Is the cat for you or someone else?
- The reason for the adoption? Family pet, child’s pet, companion for
other pet, gift, barn cat, other
- Does everyone know you are adopting or is it a surprise?
- Please list all residents in the house and the ages of children under 18
______
______
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- Is anyone in the home allergic to cats?
- Who will be mainly responsible for the cat?
- How many hours will the cat be left alone?
- Where will the cat stay during the day (specifically)
- Where will the cat stay at night (specifically)
- Will your cat be allowed on furniture/beds?
- Will you cat have the run of the house?
- How will you handle scratching or destructive behavior? ______
______
______
(Over)
- Under what circumstances would your cat be kept outside or in the garage or
in the basement?
- What, in your opinion are the pros and cons or letting cats go outdoors?
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______
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- Do you currently own any other animals? Yes No If so, please
list them and their ages and if they are spayed or neutered.
______
______
- Please list any animals you have owned in the last 10 years.
______
______
- Have you ever had an animal that you have given away? No Yes
If yes, please explain ______
______
- Please list you current vet and their phone number. ______
______
- If this is your first pet, what veterinarian do you plan to use and their phone
number.
- Are you aware that vet care can cost you in excess of $300.00 per year?
- Are you willing to provide your cat with routine veterinarian care?
- What is your opinion on declawing? ______
______
- Under what circumstances would you give your pet away? ______
______
- Are you willing to have a representative from Cat Tail Kitties check on the cat? ______
- Do you consider your cat to be a member of the family?
- Are you willing to give your cat quality time and attention?
- What type of food do you plan on feeding your cat?
- Would you consider leaving your cat outside unattended?
- Are you concerned about shedding?
- What would you do if your cat did not use the litter box? ______
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Approved by: ______Date: ______