QUESTIONAIRE FOR ADOPTION WE RESERVE THE RIGHT TO REJECT
Name of Cat:
Name:
Address:
City/State/Zip:
Phone:
Other:
E-mail:
Employer:
Occupation:
Do you Rent or Own your home?
Own
Rent
Name of Development or Complex
Landlord’s Name:
Landlord’s Phone Number:
How many children live in your household?
What are the ages of these children?
Does anyone in your household smoke?
Yes
No
Does anyone have allergies or asthma?
Yes
No
Have you ever had a cat?
Yes
No
Vet's Name:
Do you plan to declaw your cat?
Yes
No
Have you ever surrendered an animal to a shelter or rescue agency?
Yes
No
How many hours a day would you spend with your cat?
0 to 2 hours
2 to 4
4 to 6
6 to 8
8 to 10
10 to 12
More
Do you plan to feed your cat:
Moist
Dry
Both
If you travel, who will provide for this cat while you are traveling?
Mother/Father
Husband/Wife
Other member of the Family
Friend
Room Mate
Neighbour
Other
What reason would compel you to give an animal up?