Feline Behavior Questionnaire, CatBehaviorHelp.com

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Stephen Quandt Feline Behavior Associates

Email *

Information about you and your home

What are the names (first and last) of all of the responsible parties for the cat(s) in question? In other words, who are the owners, guardians and/or foster parents? *

If there are additional email addresses for other responsible parties please optionally add them here if you wish, separated by commas if more than one.

Where are you located? *

What is your cell number? (Optional)

Please list the names, and ages of everyone in your home and their relationship to you. *

Please list the name(s) of the cat(s) in your home, their current age(s) and genders. *

How long has each cat (by name if more than one) been in your home? *

Please list each cat's spay/neuter status. *

Where did the cat(s) in question come from? *

A shelter or rescue org

Street rescue

Private adoption

Breeder

Other:

If your cat came from a shelter, rescue org or similar please specify their name and location.

If your cat is a specific breed please tell me which breed.

If you have more than one cat, please describe the color patterns of each with their names.

Please list any additional animals in your home: name, species, gender and current age. *

Are these animals all spayed or neutered? If not, please list which one(s) is not altered. *

Primary Behavior Concern

What is the primary concern? (Aggression, destructive, fearfulness, late night wake up, litter box issues, etc) *

If the problem is litter box use, please also fill out my litter box questionnaire.

Please describe the problem starting with the most recent examples. *

When did the problem begin and how old was the cat(s) when it began? *

Has there been a change to the frequency or severity of the problem? If yes, please explain. *

Indicate the severity of the problem. *

Minor

Severe

What has been done so far to try and address and correct the problem? *

What was the cat(s) response to what you have tried? *

Secondary Behavior Concern(s)

Briefly describe any additional problems.

Have you used any punishment in response to the behavior(s) (spanking, tapping, squirting water, yelling, stern voice, confinement, or other)? If yes, please describe or answer "No".
*

And finally, is the problem so serious that you are considering, or have considered surrendering/rehoming your cat?
*

Personality

Please describe your cat(s) personality in general by name. *

For the cat(s) that we will be discussing please list each by name and describe how confident each cat is, from extremely nervous/shy/fearful to extremely bold, and confident. *

For the cat(s) that we will be discussing please list each by name and describe how playful each cat is, from not playful at all to never tires of play. Describe the type of play the cat(s) enjoy. Is it ever aggressive play?
*

Please use this scale to further describe how playful your cat is or the primary cat we're discussing. *

Never plays, full couch potato

Literally can't get enough play

Please list all the types of cat toys that you have *

Miscellaneous Information

~ Describe what each cat eats, brand and flavor. Wet & Dry food.
~ Approximate quantity per meal, number of meals per day and the feeding schedule (time of day for each meal).
~ Include any free feeding descriptions.
~ And who does the actual feeding? *

Does you cat enjoy treats? Please give brand and flavor

How food motivated is your cat? *

If there is more than 1 cat in the home please use this question to describe the FIRST cat you listed at the start of the questionnaire.

Either very picky or very uninterested in food

Crazy about food, eats anything and/or everything!

If there is a second cat please describe their food motivation here.

If there is more than 1 cat in the home please use this question to describe the SECOND cat you listed at the start of the questionnaire.

Either very picky or very uninterested in food

Crazy about food, eats anything and/or everything!

Clear selection

How many litter boxes do you have, where are they located, and are they open or closed? *

Describe any scratching posts or pads that you have, how many, what material they are made of, and whether your cat is using them. Common materials include sisal, cardboard, carpet, and wood.

When were the cat(s) in question last seen by a vet? *

Was there a diagnosis and if yes, what was it? *

List each cat by name that is currently on a medication (if any), and include the medication names

How did you hear about Stephen and/or catbehaviorhelp.com? *