Pause 4 Paws Rescue Mission

CAT ADOPTION QUESTIONNAIRE

Pause 4 Paws Rescue Mission

P.O. Box 2704

Vacaville CA 95696

Name______Email______Address ______City ______Zip ______Primary Phone ______Alternate Phone ______Where did you hear about us? ______

Name of Cat you are interested in:______

Description: ______

Thank you for considering the adoption of a CAT from our rescue. You will be making a 10-15 year commitment to the CAT you adopt.
Please consider the time, effort and cost necessary to properly care for a pet. This can be up to $1000 annually for food, supplies, grooming, etc. This DOES NOT INCLUDE MAJOR MEDICAL EXPENSES which can quickly amount to several thousand dollars per occurrence. The decision to adopt a pet is an important one and our goal is to help make the best match possible for you and the DOG you are interested in. The following questions will help us achieve that goal. This application will be reviewed by an adoption assistant before the adoption is approved.

1) Do you currently live in a ____house ___apartment ___ condo ___ other ______2) Do you currently ___ own ___ rent ___ lease the residence where you live 3) How long have you lived at your current residence?______

Landlord’s Name:______Phone number:______

4) How many adults live in your home? _____ How many children?______Ages:______5) Does anyone in your household have allergies? ___ yes ___ no

6) Who will be primarily responsible for the care of this cat?______

7) Is this cat a gift? ___ yes ___ no If yes, for whom? ______

8) Which of the following best describes your reasons for wanting this cat? (Check all that apply) ______Companion ______For Kids ______Mouser ______Companion for existing pet ______Other: please explain:______
9) What attracts you to the cat you are interested in? ______
10) Will this cat be: ___ Indoor only ___ Outdoor only ___ Indoor & Outdoor

11) Where will this cat be kept when no one is home?______12) Where will the cat be kept at night?______

13) Who will care for the cat when you go on vacation? ______14) Are you prepared to take your cat with you should you move? ______

15) Do you plan to have the cat declawed? ___ Yes ___ No

If yes, why?______

16) Have you had pets in the past (as an adult?) ___ Yes ___ No

17) If you have other pets: Are their vaccinations current? ___Yes ___ No

Are they currently licensed? ___ Yes ___ No
18) Do you have a regular veterinarian? ___ Yes ___ No Name______

19) Under what circumstances would you not keep this cat? ______

______

18) Please list all of the pets you have had in the last 10 years including current pets, and those you no longer own

Species / Breed / Age / Sex / Altered / Owned how long? / What happened to him or her?
M/F / Y/N
M/F / Y/N
M/F / Y/N
M/F / Y/N
M/F / Y/N
M/F / Y/N
M/F / Y/N
M/F / Y/N

20) Please check the topics you would like our staff to discuss and/or provide to you:

___ indoorsvs outdoors ___ letterbox issues ___ declawing ___introduction to other pets ___ scratching furniture ___ cats with kids ___ nail trimming ___ grooming

Signed______Date:______Animal Name: ______Reviewed by: ______Date:______