Tri-County Animal Protective League

Cat adoption questionnaire

PLEASE BE SURE TO ANSWER ALL OF THE QUESTIONS - THANK YOU! Please note that filling out this questionnaire will not guarantee an adoption - you will be contacted by an adoption counselor for the remainder of the adoption process. Your name:  Your street address:  City:  State:  Zip:  Your phone number:  Your email address:  Which cat are you interested in adopting?  Are you currently employed?  Yes     No How long have you been working there? Are you 21 or older?  Yes     No Do you own or rent your home?  Own     Rent If you rent, please give the name and phone number of your landlord. PLEASE NOTE: Renters must provide proof that they are permitted to have a pet.  Tri-County APL can verify this by calling your landlord, or you can provide written proof to us.  We must verify this before completing an adoption.  If your lease requires that you fulfill an extra requirement to have a pet (such as an extra security deposit), we'll need verification that this was done, also. How long have you lived at your current address?  Do you anticipate moving anytime in the next few years?  Yes    No How long have you been thinking about adopting a cat?  Where have you looked so far?  Why do you want to adopt this cat? (check all that apply) Companion For children Company for other pet Gift Protection To breed Hunting Mouser For barn Other (please explain):  Where will this cat live?  Please Choose One Inside always Inside/outside Primarily outside Are you aware of the normal life expectancy of this cat?  Yes     No What would you do with this cat in the event of a crisis? (Loss of job, having to move, etc...) Do all adults in your home approve of adopting a cat?  Yes     No Please give the ages of everyone living in your household. If children are in the home, are you willing to educate and supervise in the proper care and treatment of this new cat? Yes     No     No small children in home This can include things such as making sure children don't let the cat out an open door by accident; and supervising the cat and children, as you teach the children safe behavior around cats. Who will be the primary caretaker of this cat?  Does anyone in your household have allergies to cats?  Yes     No     Not sure Would you object to a follow-up call or visit from the Tri-County APL?  No     Yes Do you have any pets now?  Yes     No How many pets do you have and what kind are they? Are they all spayed or neutered?  Yes     No     No other pets If not, please explain why not.  What happened to the most recent cat or dog you lost? What is the name of your veterinarian or vet clinic?  If you don't have a vet now, where will you take this cat for medical care?  What do you do (or plan to do) to control fleas?  Why is spaying and neutering important? What is your estimated annual cost for medical care, feeding, and licensing this cat?   Where will this cat be kept during the day?  Where will this cat be kept during the night?  If you go away on vacation/emergencies, who will care for your cat(s)?  How long will you give this cat to adjust to its new home?  How would you handle behavior problems? For what reasons would you return this cat? (Check all that apply): House soiling Chewing Biting/nipping Scratching Grew too large Too much shedding Could not control Others in household didn't like/want Poor hunter Did not have enough time to spend with pet Couldn't afford Didn't get along with children Other (please explain):  When would you let this cat outside? (Check all that apply) All the time Occasionally Whenever cat wants Never Only when I can watch it Only in a cat-proof enclosure Only on a leash/harness If you have cats now, where do they live?  Please Choose One Inside always Inside/outside Primarily outside I don't have any cats now. If other cats are in the home, will you be adding another litterbox? Yes     No     No other cats THANK YOU FOR YOUR INTEREST IN ADOPTING A CAT!