Pre-Adoption Questionnaire

 

We seek permanent, loving homes where our Maine Coon kittens can live a long, happy and healthy life. For this reason we must ask you to answer the following questions which will enable us to determine the best home and circumstances for the cat(s) you are interested in adopting.

 

Your first and last name:
Significant others name:
Email address:
Street address:
City/State/Zip:
Major Cross Streets near your home:
Home phone:
Cell phone:
Work phone:
Your Occupation:
Your Employer:
Name of current Veterinarian?
Veterinarian's phone:
Name and # of 1st personal reference:
Name and # of 2nd personal reference:
Name and # of 3rd personal reference:
Do you own or rent your home?	Own  Rent
Apartment Complex Name:
Apartment Office/Landlords Phone:
If you rent, have you paid the pet deposit? (Please click N/A if you own your home.)	Yes  No N/A
If you own, does the HOA have any restriction on cats?	Yes No If yes, what are the restrictions
Are you planning on moving soon?	Yes  No
Where will the cat stay during the day?
Where will the cat stay at night?
Do you have a pet door to the outside?
Is your yard fenced?
Do your windows have strong, sturdy screens?
Where else have you looked for a cat?
At what age do you plan to declaw the cat(s)?
Does anyone in your home have allergies to cats?
Have all adults in the house agreed to adopt a cat(s)?	Yes  No

List the dogs &/or cats you have had in the past 5 yrs or presently have.
If there are more than five, that's ok with us, just use the space at the end of this questionnaire to list any additional pets

Pet Age	Pet Name & Species	Pet Spayed/Neutered?	Where was/is this animal kept ?	Do you still have the pet?	If not, what happened to him/her?
		Yes  No	InOut Both	Yes No
		Yes  No	InOutBoth	Yes No
		Yes  No	In Out Both	Yes No
		Yes  No	In Out Both	Yes  No
		Yes  No	In Out Both	Yes No

What do you want your new cat to be? Indoor Outdoor  Both

Are any pets you still have current on their vaccinations ? Yes No

Will any young children live with the cat(s)?       Yes  No
Please list all children names and ages:     

Tell us about the cat you would like to adopt :

Gender: Male  Female  Not important

Age: Kitten  Young  Adult  Not important

Breed? Not important

Fur-length Short-hair Long-hair Not-important

Preferences   Cuddly  Independent  Lap-Cat  De-clawed Check all that apply.

Please check which situations would cause you to return this pet? Check all that apply.

Allergies Moving Change in marital status Health Issues New Baby Destructive behavior

Aggressiveness new cat doesn't get along with current pet Vet Bills Housetraining Job change  Children not taking care of pet

Please check all the reasons why you are wanting to adopt a cat at this point in your life. Check all that apply.

My Companion Mouser Show cat Current pet's playmate Children's playmate

Use this space for additional comments.

Once finished please copy and paste form, send to katzens@earthlink.net

Or you may print and mail it

Katzens Maine Coons

112 Winn Dr.

Louisburg, NC   27549

 

 

By sending us the questionnaire you are certifying that all your answers are true and correct to the best of your knowledge.  You also agree that Katzens Maine Coons has the right to contact your vet and personal references.

 

All information provided in this application will be treated as completely confidential and will not be released to any other  outside party-- for any reason-- unless consented by the submitter in writing.