Cat Rehoming Questionnaire If you are human, leave this field blank.Step 1: Personal Contact InformationNameAddressCityStateZipEmailPhonePhone(Alternate)Step 2: Basic InformationCat's NameAgeGenderBreedIs your cat spayed/neutered?YesNoIs your cat microchipped?YesNoWhy are you surrendering?How long have you had your cat?Where did you get your cat?Where is your cat primarily kept?IndoorsOutdoorsBothDoes your cat have "accidents" in the house?NeverEvery so oftenDailyIf your cat has accidents in the house, have you taken her or him to a veterinarian to make sure there is not a medical problem?YesNoHow often do you clean the litter box?Once dailyTwice weeklyWeeklyOtherHas your cat lived with children?YesNoIf you chose yes, please explain:How is your cat with children?Nervous/timidRambunctiousPlayfulTolerantAffectionateNot good with childrenDid your cat live with another cat?YesNoHow is your cat with other cats?Timid at firstPlayfulRambunctiousToleratesScaredNot good with catsDid your cat live with a dog?YesNoHow is your cat with dogs?PlayfulAvoidsNever been with dogsToleratesScaredNot good with dogsStep 3: Cat Activities / BehaviorDoes your cat play with Toys?YesNoWhat kind of toys does your cat prefer?Is your cat declawed?YesNoDoes your cat use a scratching post?YesNoDoes your cat prefer playing with:PeopleOther AnimalsAloneDo you feed your cat:Once a dayTwice a dayThree times a dayDoes your cat have a food preference?How does your cat react to strangers?HidesNo reactionGreetsTries to biteScaredIndifferentDoes your cat:Enjoy being pettedEnjoy being groomedEnjoy being picked upEnjoy playingHow would you describe your cat's personality?AffectionatePlayfulHigh energyLow energyStubbornIndependentLap LovingTimidConstant CompanionOtherStep 4: General InformationDoes your cat have any medical problems?YesNoIs your cat up-to-date on vaccinations?YesNoWho is your veterinarian?If you could change one thing about your cat, what would it be?What information would you like to pass on about your cat?Submit
