Cat Adoption Survey




CAT ADOPTION SURVEY
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Home Phone:
Cell Phone:
Email Address:

ABOUT THE CAT(S) YOU ARE SEEKING:

If you are seeking a specific pet from our agency, please tell us his or her name and why you would like to adopt him or her:



If you don’t have a specific animal in mind, please tell us about the type of cat who might interest you, so we can recommend a perfect match:

I prefer:


a male   

a female   

no preference

I prefer:


a kitten  

a young adult  

adult

senior   

no preference

 

Will this cat be declawed?


yes

no


no, but I’d prefer an already declawed cat

This cat will live:


indoors

outdoors


indoors and outdoors

In terms of cat’s breed or appearance,
I would prefer a cat of this description:



I prefer a cat with an energy, activity and/or attentiveness level of this description. Please check all that apply:



very playful and high energy


mellow, laid back and easy going

very affectionate, expressive and responsive

aloof and independent

most in need of a home

 

ABOUT ME AND MY HOUSEHOLD

Do you currently live with pets?

yes

no
If yes, please describe them. Include details about their species, breed, age and temperment. Also let us know if they are spayed and/or neutered or microchipped.

If you have one, please provide your veterinarian’s name and contact information.

If you have had pets in the past, please tell us about them. Include details about their species, breed, whether or not they were spayed and or neutered and/or microchipped. Also, please let us know if they passed away, if they were lost or something happened to them, or if they are living with someone else at present.


Do you own or rent your place of residence?
Own

Rent

If you rent, please provide your landlord’s contact name and information, if we can contact him or her:

Tell us about your family or household. Please include details such as the names and ages of your family membes or housemates, as well as their relationships to you.

Is everyone in agreement to
adopt a pet, as described above?
Yes

No

I would best describe my home
as a:

Trailer


Apt/Condo


Small House


Large House

I would best describe the noise and activity level in my household as follows:

Low

Medium

High

In terms of housekeeping, I would best describe my household as:

Cozy/Lived In


Neat and tidy


Immaculate

If there are any pet behaviors that you or any of your household members will not tolerate, please describe them.

If a new household member arrived at your residence, and that person feared, disliked or was allergic to this pet, what would you do?


If your pet became lost, what would you do to find him or her?

What will you do with your pet, if you are forced to evacuate, as the result of a hurricane or other natural disaster?


If this is an out of state adoption, please indicate the manner in which you would prefer to take custody
of the pet:



Sponsor the cost of my pet’s air transportation



Travel to Louisiana to pick up my pet



Accept custody of the pet, when he or she is delivered by the HumaneSociety of Louisiana or cooperating local shelter

If you could not continue to keep this pet for any reason, would you agree to return him or her to us, even if the pet is located in another state at that time? Yes

No

Are you agreeable a pre-adoption home visit at your residence, before you take custody of this pet. Yes

No

If you would like our Adoption
Counselor to speak with you about any of the following topics, please indicate them:



What to feed my cat and how often

Introducing your new cat to your other pets

Introducing your new cat to other family members

Boarding or other care options for your cat, when you are out of town

Litter box training

Bad habits, such as spraying, counter jumping, scratching furniture, etc.

Is there anything else you would like to discuss with us concerning this adoption?


Thank you SO much for taking the time to
complete this survey!!

An Adoption Counselor will be in touch with you soon.
We’ll do our best to match you with the perfect cat,
who best suits your lifestyle and would thrive in your household.