JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cat Pre-Adoption Application
This questionnaire has been designed to aid us in determining if the cat or kitten you're interested in will be a good fit for you and if your home is suitable for our rescue animal. Please answer all questions honestly and feel free to add your own comments. Thank you for completing this!
Sign in to Google
to save your progress.
Learn more
* Required
Tess. Rescued from the County shelter in Bonita at the age of 5 weeks.
Which cat(s) or kitten(s) are you interested in?
*
Your answer
Today's Date:
*
MM
/
DD
/
YYYY
Your first and last name
*
Your answer
Phone Number
*
Your answer
Best time to call
Your answer
Email Address
*
Your answer
Are you retired?
*
Yes
No
Your age:
*
Your answer
Occupation (if retired please provide previous occupation)
*
Your answer
Spouse's Occupation (if applicable)
*
Your answer
Home Address: Street Number & Street Name
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
What type of dwelling unit do you live in?
*
Apartment
Condo
Townhome
Single Family Home
Mobile Home
Military Housing
Other:
Who owns the home you live in?
*
Landlord
Partner
Family member
I do
Other
If you rent, Landlord's Name and Phone Number
Your answer
How long have you lived there?
*
Your answer
Would you object to a rescue representative visiting your home?
*
Yes
No
Other:
Please tell us the age and relationship to you of all other people living in your home.
*
Your answer
Why do you want a cat?
*
Companion for yourself
For your children
For someone else other than your children
Companion for your current pet(s)
As a mouser
Other:
Have you previously owned a cat?
*
Yes
No
How many hours per day will this cat left alone?
*
Your answer
Where will this cat be kept?
*
Your answer
Are there any dogs currently living in your household?
*
Yes
No
If you have any dogs in your household please tell us about them (breed, weight, spayed/neutered, cat friendly)
*
Your answer
Do you have any cats in your household?
*
Yes
No
If you have cats in your household, please tell us about them (age, weight, spay/neutered?, energy level, personality)
*
Your answer
The current cats in your household are:
*
Indoor Only
Outdoor Only
Indoor/Outdoor
Don't have any cats
Have the cats in your household been tested for feline leukemia and did they test negative?
*
Yes
No
Don't have any cats
If you have cats in your household, have they been tested for FIV and did they test negative?
*
Yes
No
Don't have any cats
Other:
How would you introduce this cat to the current pets in your household?
*
Your answer
If you adopted a cat from us, would you keep it:
*
Outdoors Only
Indoors/Outdoors
Inside Your Home Only
Other:
Who will be responsible for the care of this cat?
*
Your answer
If something should happen to that person, who would take care of the cat?
Your answer
Cats have been known to claw furniture, carpeting, and other items in a home. How would you deal with this problem?
*
Your answer
How do you plan to provide for this cat when you go out of town?
*
Your answer
How did you hear about this cat?
*
Animal Alliance website
Adopt-A-Pet
Petfinder
Social Media
Friend
Other:
Adopters over the age of 70 are required to have a co-adopter under the age of 70. If you're over 70, please list the name, phone number, and relationship of your co-adopter.
Your answer
Your answer
Is there anything else you'd like us to know?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Animal Alliance of San Diego.
Report Abuse
Forms
