Cat Adoption Matchmaker Form

Cat Adoption Matchmaker Form


Name or ID# of the cat you are interested in:
Name:
Email:
Date:
Home Phone:
Work Phone:
Cell Phone:
Address:
How many children live in your home and what ages?
How many adults live in your home?
Do children frequently visit your home?		Yes No
If yes, what ages?
Is anyone in your home allergic to pets?		Yes No
If yes, who?
Is anyone in your home nervous about pets?		Yes No
If yes, who?
I currently:
My home is:
Will you allow an SPCA representative to do a pre-adoption visit to your home?		Yes No
Please list all pets in your household, specifying dog/cat/other:
Are your current pets spayed/neutered?
Do they live indoors or outdoors?
Have you had other dogs or cats in the past five years?		Yes No
If yes, how many dogs?
If yes, how many cats?
Where are they now?
Do you currently have a veterinarian?		Yes No
If so, who?
Approximate vaccination date of current pets
I am looking for (check any that apply)		Kitten Young Adult Adult Senior No Preference
I am looking for (check any that apply)		Short hair Medium hair Long hair No Preference
I would like my pet spayed/neutered:		Before adoption After adoption I prefer he/she is not fixed
Please check all reasons for adopting a cat		Companion for self Child's pet Breeding Companion for other animal Gift for someone outside of immediate family Barn cat / mouser Other
If other, please specify
Please describe the energy level you are looking for in your pet?
The cat I adopt should possess these qualities:		Already litter trained Already de-clawed Very affectionate Quiet Talkative Older and settled Adventuresome Low shedding Doesn't scratch people Doesn't scratch furniture Gentle with young children Good with dogs Good with other cats Good with strangers Other
If other, please specify
What would you do if your cat developed litter box problems? (check all that apply)		Check with a vet Return cat to shelter Have cat live outside Attempt to re-train Other
If you checked "other," or "re-train," please explain
Are you planning on de-clawing your cat?
If so, for what reason?
Are you prepared to spend $200 to $400 a year on basic expenses (food/medical) for this pet?		Yes No
Will your cat be kept
Where will your cat sleep at night?
If other, please specify
Under what circumstances would you give this pet up?		Bites/aggressive Litter box issues Destructive to furniture/carpeting Too active at night Aggressive with other pets Moving to "no pets allowed" housing Moving out of state Medical expenses/animal is ill Other
I found my potential new best friend on:
Additional comments