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Feline Behavior Questionnaire
Please enable JavaScript in your browser to complete this form.
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)
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Is your cat left alone during the day?
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Yes
No
How long?
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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)?
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Does your cat get along well with other animals?
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Yes
No
If no, please explain below:
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How does your cat behave in veterinary offices and while being examined?
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How does your cat react to unfamiliar people?
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How does your cat react to children?
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Are there stray or neighbor cats around your home?
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Yes
No
If yes, how does your cat react if he/she sees them?
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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)
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How many litter boxes do you have?
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Where is each litter box located in your house?
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What type of litter boxes do you have? (ie: covered, open, small, large, liners used)
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What kind of litter material is used in the boxes?
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How frequently is the urine or feces scooped?
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How frequently is the litter entirely changed?
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How frequently is the litter box washed and the contents replaced?
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Are deodorants such as bleach or Lysol used in the cleaning process?
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Does the cat ever vocalize while he/she eliminates?
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Yes
No
Does the cat ever run out of the box after eliminating?
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Yes
No
Does your cat ever eliminate outside of the box, in the house?
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Yes
No
If yes, does he/she urinate or defecate or both out of the box?
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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?
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Please describe your cat’s behavior problem
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How often does this problem occur?
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What has been done so far to correct this problem? (discipline, confinement, etc.)
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What was your cat’s response to the correction?
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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
*
House soils
Attacks people
Bites during petting
Shy
Runs away
Excessive grooming
Bites during play
Destructive scratching
Fighting
Aggressive if verbally scolded
None of the above
Please add any other information you feel is relevant to your cat’s problem
Submit
