Rehoming Your Cat Questionnaire

Please be as accurate and informative as possible.

If you are rehoming more than one cat please fill out a separate form for each cat.

* = required field

YOUR CAT'S DETAILS

Name of your cat*:

Sex*:

Date of Birth, if known: Age*: years months

Microchipped*: If yes give the microchip no:

Breed*: If Other give details:
Colour/Description*: Length of Coat*:

Previous Homes:
Where did your cat originally come from*:

How many previous homes has your cat had*:
What reasons has your cat been rehomed in the past:

REASONS FOR REHOMING

Why do you need to rehome your cat*:

Are you rehoming your cat due to behavioural issues*:
If yes describe in full the circumstances leading up to any events/incidents and how they have been managed:

Have you had your cat checked over by a Vet to see if there are any underlying health problems that would cause a change in behaviour*:
If yes give details:

Have you had your cat assessed by a qualified animal behaviourist/trainer*:
If yes give details:

Do you have a training/management plan in place*:
If yes attach a copy (File types: pdf or jpg Size: less than 1MB):

Have you taken any other steps*: If yes give details:

MEDICAL DETAILS

Is your cat neutered*: If yes give date:

If female has she had any litters*: If yes give date(s):

Vaccinated*:
If yes enter date: Against:

Wormed*:
If yes enter date: and Product Used:

Deflead*:
If yes enter date: and Product Used:

Allergies*: If yes give details, including medication:

Epileptic Fits*: If yes give details, including medication:

Heart Problems*: If yes give details, including medication:

Any other ongoing health problems*:
If yes give details, including medication:

Any operations, other than neutering*:
If yes give details including dates:

Which Veterinary Practice is your cat registered*:

Can we have a copy of your cat's veterinary history*:
Please note this is required for all animals that we take in for rehoming, to ensure we are meeting their needs.

DIETARY DETAILS

What food do you give your cat?

Describe food types, quantity and times feed*:

Is your cat used to treats*:
If yes give details:

Are there any dietary restrictions that apply*:
If yes give details:

BEHAVIOUR/TEMPERAMENT/WELLBEING

Describe the temperament of your cat*:

Are there any known factors/events that may have an impact on your cats behaviour*:
If yes give details:

Is there anything your cat can be anxious/scared of*:
If yes give details and describe any steps taken to lessen/manage any anxieties:

How does your cat behave when attending a veterinary surgery*:

Does your cat have any problems being handled anywhere on its body*:
If yes give details:

Does your cat need any regular Grooming/Nails Clipped: GroomingNails Clipped (Select all that are applicable)
If yes how does your cat respond to it:

HOME ENVIRONMENT

Would you describe your home environment as quiet, normal or busy*:

Who currently lives in the home with your cat:
No. of Adults*: No. of children*:
If children what ages: Less than 112345678910111213141516 years old (Select all that are applicable)

Does your cat get on/interact well with and respond to everyone in the home*:
If no give details:

Used to or lived with dogs*:
If yes give breed, sex, neutering status:

Used to or lived with other cats*:
If yes give breed, sex, neutering status:

Used to or lived with other pets*:
If yes give species, breed, sex, neutering status:

How does your cat interact with other animals in your home:

Visitors:
Does your cat get on/interact well with visitors to the home*:
If no give details:

Visiting children*: If yes what ages: Less than 112345678910111213141516 years old (Select all that are applicable)

How long is your cat used to being left alone*:
Are there any behavioural problems/anxieties when left alone*:
If yes what steps have you taken to manage them:

Does your cat use a litter tray*: If no give details:

Where does your cat sleep*:

Does your cat have full access to your home:
When you are in*: If no give details:
When you are out*: If no give details:

Has your cat been teased by children*: If yes what ages: Less than 112345678910111213141516 years old (Select all that are applicable)

Does your cat live on a Quiet or Busy Road*:

Does your cat live in a Country, Suburban or Urban area*:

Is your cat used to a cat flap*:

Is your cat an Indoor/Outdoor cat*:

OUTSIDE OF THE HOME

Has your cat ever been in a cattery*:
If yes what feedback have you received about your cat's experience in the cattery:

NEW HOME

What do you feel your cat needs from a new home:

Would your cat benefit/be okay in a family home with children*:
If yes how young a child could they live with: years old

Would your cat benefit/be okay in a home with other pets*:
If yes what type of pet(s):

Do you feel your cat would be okay in a busy family home, or a more quiet/calm home environment*:

How much company does your cat need*:

Is there anything else you can think of that your cat would need from a new home, please describe*:

If rehoming more than one pet would they need to be homed together*:
If yes please explain:

ADDITIONAL COMMENTS

Please add any other comments you feel are not covered by this questionnaire, the more information we have, the better we can help find the right home for your cat's needs:

OWNER'S CONTACT DETAILS






Are you the owner or owner's representative*:

REPRESENTATIVE'S CONTACT DETAILS







What is the reason for completing this questionnaire on behalf of the owner*:

Do you have the owner's permission*: Can you/we obtain signed confirmation*:

REPLY DETAILS


SUBMIT FORM


* = required field

This form complies with our Privacy Policy under the Data Protection Act

Web form last revised 1st May 2018