Todays Date*

Name*

Address*

Address

Contact Info*

Personal Email

Are you interested in a specific cat/kitten, if yes which one?*

Describe the kind of cat you are looking for (i.e. energetic, lap cat, vocal)

Have you ever thought about adopting an animal with special needs?
---YesNo

What behaviors are you concerned about your new cat displaying? (i.e., scratching furniture, too needy)

Is this your first cat?*
---YesNo

Tell me about your previous pets: how long you had them, what you loved about them.

Is this cat/kitten a gift?*
---YesNo

The following are questions about your home and family:

How would you describe your household? (i.e., lots of activity, quiet no visitors)

How many children live in your home and what are their ages?*

Is anyone in your home allergic to dogs or cats?*
---YesNoI don't know

Approximately how many hours a day will your new cat/kitten be alone?

Have you thought about what you will do for your pets if you need to move or become unable to care for them?*

Depending on the quality of food and litter you purchase for your cat, you can expect to spend $40 to $100 per month, plus any veterinary costs that arise. Is this within your budget?
I don't knowYesNo

Explain Other:

Additional Comments