Cat Personality Profile
Please complete 1 form for each adult cat or litter of kittens you wish to surrender (adult = 6 months or older)

No one knows and loves your cat the way you do. In order to help us find the most appropriate home for your cat, please provide us with as much information as possible about your cat’s history, past veterinary care, likes, dislikes, quirks and behavior. Behavior and medical issues do not necessarily create problems, but failing to disclose them certainly does. While your personal information will be kept confidential the animal information may be shared with potential and actual adopters of your cat.

Owner's First Name *
Your answer
Owner's Last Name *
Your answer
Owner's Address *
street, city, zip code
Your answer
Phone Number *
Your answer
Alternate Phone Number
Your answer
Reason for surrendering this pet *
Please check all that apply
Required
Email Address
Your answer
Cat(s) Name(s) *
If multiple pets please list all, if no name use brief description (i.e. Grey, fluffy, female)
Your answer
Age of Cat(s) / DOB *
Your answer
Sex *
Has this pet been spayed or neutered? *
Special Markings/Color *
Your answer
Why are you surrending this pet? *
Your answer
If we could help you resolve this issue, would you be interested in keeping your cat? *
How long have you had this cat? *
Your answer
Including yours, how many homes has this cat had? *
Where did you acquire this cat? *
Your answer
If you got your cat from another shelter or rescue group, have you contacted them to return your cat?
If you have contacted the other shelter or rescue group, what was their response?
Your answer
If you have not contacted the other shelter or rescue group, why not?
Your answer
Has this cat bitten and broken the skin? *
(If no skip next question)
If your cat has bitten and broken the skin please describe the circumstances for each incident
Your answer
Has this cat ever been classified or are there any pending dangerous complaints on this cat ? *
Did this cat see a veterinarian at least once a year? *
If your pet has not seen a veterinarian yearly please tell us why
Your answer
Is your pet current on his/her vaccines? *
(Vaccinations are necessary at least every 3 years)
Which Veterinary Offices have examined your pet? *
please list all that apply and city if not local
Your answer
Has this cat been diagnosed with and/or treated for any of the following? *
Please check all that apply
Required
How would you describe your cat most of the time? *
Please check ALL that apply
Required
Please check any behavior issues your pet may have *
Please check all that apply
Required
How often does your pet fail to use the litterbox or go outside? *
How many Litter boxes does your pet have access to? *
How many cats have access to these same litter boxes? *
Where are your litter boxes located? *
Required
How many times per day do you feed your cat(s) dry food? *
How many times per day do you feed your cat(s) wet food? *
What brand of dry food do you feed your cat(s)? *
Your answer
What brand of wet food do you feed your cat(s)? *
Your answer
What activities does your cat enjoy? *
Your answer
What type of home do you recommend? *
Your answer
Do you allow your cat on the furniture? *
What areas does this cat have access to? *
Please check all that apply
Required
Where does this cat spend most of his/her time? *
Please check all that apply
Required
If this cats has lived with or regularly been around dogs, how do they interact? *
Please check all that apply
Required
If this cat has lived with, or regularly been around dogs please list the # of dogs and their breed/sizes
Your answer
If this cats has lived with or regularly been around cats, how do they interact? *
Please check all that apply
Required
If this cat has lived with, or regularly been around other cats please list the # of cats and their approx age/sex
Your answer
If this cat has not lived with another cat what do you think your cat would do if it was to meet a cat?
Your answer
Has this cat regularly been around children?
If this cat has been around children please indicate the ages of children *
Please check all that apply
Required
If this cat lived with children, how did they interact? *
Please check all that apply
Required
Please add any additional information about this cat that may be helpful to future owners
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service