Cat Adoption Survey

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Name of Applicant *

First

Last

Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Own or Rent? *

Own Rent

If you rent, please give your landlord’s name *

First

Last

Landlord’s phone number *

If other, please explain: *

* If "Good with Dogs" Has your dog lived with or interacted with cats before? *

Yes No

Please list the number and species (e.g., 1 dog, 1 cat) of all animals currently in your home: *

Where will the cat live? *

Inside only Inside and outside Outside only

If the cat will be allowed outside, please check all that apply to the cat’s outdoor activity. Cat will be: *

Are you interested in a cat with “special needs” (medical or behavioral)? *

Yes No

Will this will be your first cat? *

Yes No

If no, do you currently own a cat? *

Yes No

If yes, has your cat been tested for feline leukemia and FIV? *

Yes No Don't Know

If yes, has your cat been vaccinated? *

Yes No Don't Know

If yes, is your cat declawed? *

Yes No

If yes, is your cat spayed or neutered? *

Yes No Don't Know

If yes, what is the age of your cat? *

If yes, Male or Female? *

Male Female

If you don’t currently have any cats, when was the last time you had a cat? *

Within the last year Within the last 10 years More than 10 years ago

List the pets you’ve had who are no longer in your care and describe what happened to them. *

How many adults are in your family? *

How many children are in your family? *

Ages of the children? *

Does any member of your household have an allergy to cats? *

Yes No Don't Know

Who will be the cat’s primary caregiver? *

Where do you live? *

House Apartment Condo Other

If other, please explain: *

How will you manage your cat’s nail health? (Please check all that apply.) *

If other, please explain: *

The name of your veterinarian *

First

Last

The phone number of your veterinarian *

Are you willing to allow a representative of Best Friends Animal Society to visit your home to see where your cat will be living? *

Yes No

If you move, what will you do with your cat? *

Additional comments or questions: *

Driver’s license or I.D. number *

_To adopt a pet, you must:

Downloadable Survey

Cat Adoption Survey