PURRfect Partners' Pre-Adoption Questionnaire

PURRfect Partners' Pre-Adoption Questionnaire

**Please note that your e-mail address must be filled in before you submit the form
or you will have to fill it out all over again.

Date:
E-mail Address: *
Cat(s) you are interested in:
Your Name:
Occupation:
Street Address, City & Zip code:
Home phone #
Work phone #
Cell phone #
Spouse/Sig. other's name:
Occupation:
Spouse's phone #:
Roommate(s)? Names:
Occupations:
Roommates phone #:
Ages of any children:
Number of family members:
I live in a:
Do you:
Does your Landlord or Condo/Townhouse Association allow pets?
What is your Landlords name and phone #?
Number of pets allowed?
Do you expect to move in the next few months? If yes, where?
Does your new place allow pets?
Why are you adopting a cat?
Have you owned cats before?
What happened to them? Be specific:
Is anyone in your household allergic to cats? If yes, who?
What would you do if a member of your household became allergic to the cat(s)?
Is anyone home during the day? If yes, who?
Do you have a dog or cat door? If yes, where?
What percentage of the time will the cat be Indoors? Outdoors?
The cat will have access to:
If you move into a house in the future, the cat will most likely be:
Where will the cat sleep?
Who will be responsible for the daily care and litter box cleaning for the cat? Please give this person(s) name and age:
Where will the litter box be located?
Please list all the pets you have now and their ages:
Are any of your cats declawed?
Do you plan to declaw this cat? If yes, please explain why.
If you have dogs, have they been around cats before?
Are all the pets in your household spayed or neutered?
Have your cats been tested (not just vaccinated) for FeLV and FIV?
How often do you plan to vaccinate this cat?
Do you have screens on your windows? doors?
Do you have household plants?
Do you have Mini-blinds?
If for some reason you could no longer take care of the cat, what would you do?
What would you do if the cat stopped using the litter box?
What would you do if the cat clawed the furniture?
What would you do if the cat kept trying to get outside?
Would you seek the help of PURRfect Partners, if these problems occur?
Do you have the time and are you willing to work with a cat to address any behavioral or medical challenges that may occur?
If you go away for a few days/weeks who will care for the cat?
Is the cat a gift for another person?
If yes, please give the name, age & location of the recipient:
If you have children, have they been around cats before?
Have all household members agreed to adopt a cat?
Can you afford regular veterinary care for this cat including dental care?
What is your current Veterinarian's name, location?
Would it be okay for a representative of PURRfect Partners to visit your home prior to and after adoption?
How did you hear about PURRfect Partners?
Are you ready to make the commitment to adopt a new cat? Please read the Commitment Disclaimer (below) before answering this question:
Have you read and do you agree to our Terms and Conditions (below)?:
We welcome your comments or questions:


* Required

COMMITMENT DISCLAIMER
Please be aware you are making a major, lifetime commitment when you adopt a pet. Remember that cats can live for over 20 years. Thousands of cats are killed at animal shelters each year because their guardians did not plan for the future. Cats can get sick and require expensive medical treatment during the course of their life. Cats need affection, attention and understanding. You may have to adjust your lifestyle to accommodate a new pet.

TERMS AND CONDITIONS
I agree that I will not hold PURRfect Partners or any of its volunteers responsible for any damage or injury that may occur as a result of handling the cats. I agree to handle the cats at my own risk. I further agree that all information provided on the Questionnaire is true and correct. False information will result in nullification of this adoption.

Completion of this form does NOT guarantee adoption.
We require a home visit before making a decision.
We may decline to adopt based on this questionnaire, the interview and/or the home visit.

PURRfect Partners reserves the right to refuse adoption to anyone for any reason.
If approved this Questionnaire becomes part of the PURRfect Partners adoption contract.
This questionnaire and information contained herein is the property of PURRfect Partners.
Failure to agree to the Terms and Conditions will result in a nullification of this adoption.

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