*Required
Full Name *
Home Address *
City *
State *
Zipcode/Postcode *
Email Address
Home Phone Number
Cell Phone Number
Cat's Name *
Breed, if known*
Cat's Gender *
Cat's Age *
How long cat has lived in current home? *
Are there other cats in home? *
If yes, list names, breeds, ages, and sex
Are there other animals in home? *
If yes, what kind of animals?
Reason why you contacted a cat behavior consultant *
How did you learn of Paws of Nature? *
Name of Veterinarian *
Do we have your permission to discuss your case with him/her? *
Yes No 1. Where did you get your cat? At what age? *
2. If you adopted, do you have any background information on the cat? *
3. Is your cat allowed outdoors? If yes, is he free roam, supervised, leashed or contained? *
4. When was your cat last vaccinated for Rabies? Distemper (FVRCP)? Other Vaccines?*
5. Any current medical problems? *
6. Currently on any medication? *
7. Any past medical problems? *
8. Any injuries in the past that needed urgent medical attention? *
9. What kind of food do you currently feed your cat? *
10. How many times a day do you feed your Cat? *
11. Where is the food bowl located in your house?
12. Describe how your cat acts towards new people coming into your home. How long does it take your cat to come out to see a new person?
13. Are there people outside of immediate family members that the cat likes or will come out to see? If yes, please describe. *
14. Is there a certain type of stranger that your cat is uncomfortable with? Describe. *
15. How does your Cat act around children? Does age of child matter? *
16. Describe what causes your cat to hiss, growl or swat. *
17. Has your Cat ever snapped at or bitten someone? How many people? If yes, please give details of incidents in question 18. *
18. Describe person or persons who were bitten and what they were doing when bitten. Start with the earliest incident, approximate date, to the most recent incident. List all bites including snaps that did not make skin contact as well as bites that did not do any damage. List where on body they were bitten and description of bite wounds.
19. Did anyone seek medical treatment? *
20. Did any incident get reported to your town Animal Control Officer? *
21. Is there any area of your cat’s body that he acts sensitive about being touched by you or anyone else? Describe. *
22. Any major change within the household or household routines since acquiring cat? *
23. What type of litter box do you have? Covered or uncovered? How many boxes? Location of boxes? Type of litter used?*
24. On a scale of 0 to 100% reliable in the home, what % would you rank your cat’s litter box use? If less than 99% how many accidents in the past week? Locations of accidents?*
24A. What do you use to clean the accidents? *
25. Does your cat do any of the following pushy or attention seeking behaviors? Check all that apply. *
Meow at you Swipe at you (with claws) Paw you (without claws) Stare Lean on you Climb on you Jump in your lap Jump at you Lick you Mouth you (love bites) Push at you with nose Sit on your feet other 26. How long will the attention seeking behavior last? *
27. Have you tried to curtail excessive meowing or attention seeking? What methods have you tried? *
28. Does your cat destroy things while you are home? How have you dealt with this? *
29. Describe how your cat acts with the other animals in your home. *
30. Describe how your cat acts when he sees or hears other animals while he is inside the house? *
31. How have you dealt with this?
32. Any Cat fights? If yes, please list in order from the oldest incident to the most recent by approximate date. Describe where the incident took place and who was involved.Describe how each situation was handled and list any bite injuries. *
33. Did any animal involved in a fight need veterinary treatment afterwards? *
34. Is your Cat sensitive to sounds? Describe. *
35. How does your Cat act at the veterinarian’s office? *
36. Has the vet ever needed to muzzle or sedate your cat? *
37. Please list any other behavioral problems that have not already been listed that you need to discuss and give as many details as possible. *
38. Describe how you or others play and interact with your Cat. Check all that apply. *
Fetch and retrieve ball/other object Toss toys (balls, mic,e etc.) Food/treat toys Catnip Chase cat around Tickle belly Play fight with cat Pat cat all over like a drum Kiss cat Plays with other cats Wand/dangle toys Windup/motorized toys Laser pointer Dress up Let cat chase you Teach cat tricks Pet head Hug cat Let cat kiss you Plays with water Other 39. How would you best describe your Cat's personality and temperament? *
40. Name 5 things you love about your cat. *
41. If your cat could speak and understand English, and I asked him what are his five favorite things to do, how would he answer me? *
