Todays Date*

Name*

Address*

Address

Contact Info*

Personal Email

Are you interested in a cat(s) or kitten(s)? What makes you interested in this kitty?

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