ADOPTION QUESTIONNAIRE

Please understand that it is out of love and responsibility to our animals that we want to make the best

choice for great lasting homes and to match each family with the right animal. THANKS for your cooperation!

1a)   Please describe in detail what animal(s) you want to adopt from us. If you are willing to take a pair or trio, please state so here:

1b)   What is your email address: 

1c)    Your phone number so we can reach you:

2)   What is your first and last name?

3)   Number of adults where you live?   List age of each adult        

4)  Relationship of adults: (Put X in correct box)  Married   Roommates   Other Explain

5)  Number of kids at household, including part-time? Ages of each:

6)  Are you planning on having children? Yes/No Approximately When

7)  Do you rent   or own (please place check in appropriate box)

8)  How long have you lived where you are?

9)  What city do you live in?   Your zip code?

10)  How many CURRENT PETS do you have now?

  Name Species (dog/cat) Breed Current Age How Long Had Pet? Neutered? (Yes/No)    
Pet #1  
Pet #2
Pet #3
Pet #4
Pet #5
Pet #6

Any comments:

11)  How many PAST PETS have you had total?

  Name Species (dog/cat) Breed Current Age How Long Had Pet? Neutered? (Yes/No) What Happened to Pet?
Pet #1
Pet #2
Pet #3
Pet #4
Pet #5
Pet #6

Any comments:

12) Have you ever given up an animal? (Yes/No)

 If so, please explain with details including where you took the animal and where they are now if known: 

13) Will you take more than one kitten if they are siblings that love each other?   Comments:

14) Will you take a mother with a kitten if you like her?   Comments:

15) Would you take a cat that may need some socialization or a minor health issue?   Comments:

16) Do you have a pool?   Is there a fence around just the pool?   Yes/No

17) How many adults work full-time in the household?   Are any of the adults in the military?

18) How may hours a day will no one be home?

19) How much time does your CURRENT or did your PAST cat spend outdoors? Hrs    Comments:

20) How much time do you think your new cat will spend outdoors as a kitten    as a grown cat  

Comments :

21) What is the maximum vet bill you would pay? Please state a dollar amount: $      Comments:

22) What personality would you NOT accept?

23) Where will the cat eat? Sleep? Be during the day? the evening?

When you're out of town?

24) Who in the household is this cat for? If for one person, name? age?

25) Why are you getting this animal?    And why now at this time?

26) Could you describe the lifestyle you will be giving this animals?

27) How will you discipline, for example if your cat scratches furniture or urinates inappropriately?

THANKS FOR CARING ABOUT ANIMALS!!