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Cat Adoption Questionnaire
Email address *
First and Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Home Telephone Number *
Your answer
Cellular Telephone Number *
Your answer
Who are you adopting this cat for? *
Who will be primarily responsible for this cat? *
Your answer
Have you had a cat before? *
I have owned (check all that apply) *
Required
What became of them? *
Required
What are your reason(s) for adopting a cat? *
Required
Number of adults at home (18+)? *
Your answer
Ages of children at home? *
Required
Any visiting children? *
Any pet allergies in the family? *
How often will you take your cat to the vet? *
Your answer
When was the last time you took your pet(s) to the vet? *
Your answer
How much do you estimate your cat will cost in veterinary care each year? *
Your answer
How much do you estimate your cat will cost in food and litter each year? *
Your answer
How much do you estimate your cat will cost in boarding and/or pet sitting each year? *
Your answer
If your cat swallowed a toy next week and the surgery would cost $2000, what would you do? *
Your answer
Where will your cat stay when you travel? *
Your answer
On average, how many hours will your cat be alone each day? *
Your answer
Where will your cat stay during the day? *
Your answer
Where will your cat stay at night? *
Your answer
If you currently own cat(s), are they: *
What type of home do you live in? *
Do you own or rent? *
Do you share your home with roommates? *
Do you have your landlord's permission to have a pet? *
Please provide us with contact details for your landlord. If you do not rent you can type N/A for this question. *
Your answer
Do you feel that you are able to commit to caring for a cat for the next 15-20 years? *
How would you describe your home? *
How do you anticipate your current pet(s) will adjust to a new cat in the home? *
Your answer
What would you do if you were not able to care for your cat any longer? *
Your answer
How would you handle furniture scratching? *
Your answer
Are you considering declawing this cat? *
My cat will have access to the following: *
Required
If you have pets, how will you integrate this cat into your home? Consider this cat may be nervous. *
Your answer
How will you correct any unwanted behaviour? *
Your answer
List your current pets. Name, species, age, sex. *
Your answer
Are your current pets spayed/neutered? *
Are your current pets up-to-date on vaccines? *
Tell us what you are looking for: *
Required
What are you looking for in terms of personality? *
Required
I would like my cat to: *
Required
Under what circumstances would you give up your cat? *
Required
Please provide the name of the vet clinic you use and the city they are located in. *
Your answer
I give my consent for Burlington Humane to contact my vet clinic for a reference, and I understand that I have to contact my vet clinic to give permission for Burlington Humane to speak to them. *
By clicking the box below, I agree that all the information I have provided is true and complete, and recognize that any misrepresentation of facts may result in me losing the privilege of adopting a pet. I understand that certain cat behaviours may not be evident until the cat is in it's new home. I authorize Burlington Humane to investigate all the statements contained in this application. *
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