Heartfall Allergy Questionnaire
Feline allergens can cause serious and potentially fatal reactions in some people. This questionnaire is not a substitution for medical advice.  Always consult a medical doctor prior to visiting and/or purchasing a Siberian Cat. By use of this site, you discharge all authors from liability regarding individuals or catteries where allergies or allergen levels are concerned.
 
Please allow 2-3 business days to receive a response. 

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Email *
Your Full Name  *
Person’s name and relationship to you. *
Please rate how serious you would consider your allergic reactions.
*
Do you sneeze around cats? *
Required
Do you have year-round allergies (runny nose, watery eyes, etc...)?  How do you manage symptoms? *
Do your eyes itch, run or swell (shut)? Explain. *
Do you have tightening in the chest, a scratchy throat after exposure to cats? Explain. *
Are symptoms an asthmatic wheeze? *
Required
Do you have itchy, blotchy skin after exposure to cats? *
Required
Do you break out in hives?  If yes, please explain sequence of events including medication. *

Do you have a delayed reaction?  If so, how much time does it take before they manifest? 

*

Do you have any other symptoms not described here?

*
What options are you willing to explore to alleviate potential symptoms to ensure a long-term placement? *
Required
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