Feline Behavior Questionnaire

Owner's Name *

First

Last

Email *

Pet's Name *

Background Information

How long have you had your cat? *

How old was your cat when you first acquired him/her? *

Where did you get your cat? *

Has this cat had other owners? *

Yes
No

If yes, how many? *

How much time does your cat spend indoors? (Percentage) *

How much time does your cat spend outdoors? (Percentage) *

Is your cat left alone during the day? *

Yes
No

How long? *

If kept indoors, is your cat restricted to a specific area or room in the house? *

How many times daily do you play with toys or play games with the cat (on average)? *

Does your cat get along well with other animals? *

Yes
No

If no, please explain below: *

How does your cat behave in veterinary offices and while being examined? *

How does your cat react to unfamiliar people? *

How does your cat react to children? *

Are there stray or neighbor cats around your home? *

Yes
No

If yes, how does your cat react if he/she sees them? *

Please list all people, including yourself, living in your household (please include their name, age, and how many hours a day they spend away from home) *

Please list all animals, including the one you are bringing in to see us, in your household (please include pet's name, species, breed, if they are spayed/neutered, and their age) *

How many litter boxes do you have? *

Where is each litter box located in your house? *

What type of litter boxes do you have? (ie: covered, open, small, large, liners used) *

What kind of litter material is used in the boxes? *

How frequently is the urine or feces scooped? *

How frequently is the litter entirely changed? *

How frequently is the litter box washed and the contents replaced? *

Are deodorants such as bleach or Lysol used in the cleaning process? *

Does the cat ever vocalize while he/she eliminates? *

Yes
No

Does the cat ever run out of the box after eliminating? *

Yes
No

Does your cat ever eliminate outside of the box, in the house? *

Yes
No

If yes, does he/she urinate or defecate or both out of the box? *

Urinate
Defecate
Both

Where, exactly does your cat eliminate outside of the box, in your home? *

How long has your cat been eliminating outside of the box? *

Please describe your cat’s behavior problem *

How often does this problem occur? *

What has been done so far to correct this problem? (discipline, confinement, etc.) *

What was your cat’s response to the correction? *

Please describe all situations which are likely to elicit aggressive behavior such as growling, nipping, biting, attacking, etc. (ie: petting, approached by adults, approached by children, punishing, etc.) *

Please indicate any other behavior problems *

Please add any other information you feel is relevant to your cat’s problem

Background Information

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