AWA Feline Client Care Form

This is the Feline Client Care Form at Animal Welfare Association.

AWA Feline Client Care Form

Date(Required)

Guardian's Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email Address(Required)

Is this your personal cat or a found stray?(Required)

Owned Cat

Found Stray

Reason for surrender:(Required)

Cat's Name:*(Required)

Breed:(Required)

Declawed?(Required)

Age:(Required)

Sex / Altered?(Required)

Color(s):(Required)

Estimated weight, or last weight taken at veterinary visit? Our cages have portals between cages so we’d like to be sure we can accommodate them prior to surrender if your cat is of a certain weight and size.(Required)

Are there any physical abnormalities? Some examples of this may be long claws, missing patches of fur, missing eye, etc..(Required)

Are there current, or have there ever been, challenges to placing the cat in a carrier? If so, how does the cat react? What do you ultimately do to accomplish this task?(Required)

Does your cat see a groomer regularly?(Required)

Does your cat have a favorite toy?(Required)

Does your cat have a favorite treat?(Required)

Does the cat consistently use the litter box?(Required)

If no, then please provide as many specifics about the issue as possible. Is the cat peeing, pooping or doing both outside the box? When did this challenge start? How often does this happen? Where in the home is the cat improperly eliminating?

What, if any, medical challenges does this cat have?(Required)

Tell us about the symptoms. How long has the cat been experiencing the issue? When you took the cat to a veterinarian, what diagnosis and treatment did they offer?

Has the cat ever bitten or scratched someone?(Required)

If yes, then please provide details. What were the circumstances of the bite? How severe was the bite? Was skin broken or blood drawn? Have there been multiple incidences of biting? What date(s) did the bite(s) happen?

Where and when did you get this cat?(Required)

If you did not obtain the cat as a kitten, then please provide as much information as you are aware of the cat's life before you and how many homes the cat has lived in.

Does the cat live indoors, outdoors, or both?(Required)

Describe your cat's personality.(Required)

How does the cat react to visitors?(Required)

For example, describe if the cat greets them, hides at first, becomes over-stimulated, etc.

How does the cat react to children?(Required)

Be specific. Does the cat live in the same house with the child(ren)? What is the frequency of the interactions? What are the children's ages? How do the children interact with the cat? Are the children respectful of the cat's space? How does the cat react to the children? Does the cat enjoy the interactions with the children or do they, for example, hide under the bed for the remainder of the children's visit?

How does the cat react to being picked up?(Required)

Does the cat seek attention from you? Does it happen often or is it rare? In other words, is the cat more affectionate or more independent?(Required)

Does the cat enjoy being petted?(Required)

How does this cat interact with other cats?(Required)

Be specific. Does the cat live in the same house with other cat(s)? What is the frequency of the interactions? Please detail the other animal(s). What are their names, size, breed, age, altered status (spayed, neutered or intact)? Describe the cats' usual interactions together. For example, do the cats avoid each other at all costs or do they groom each other?

How does this cat interact with dogs?(Required)

Be specific. Does the cat live in the same house with dog(s)? What is the frequency of the interactions? Please detail the other animal(s). What are their names, size, breed, age, altered status (spayed, neutered or intact)? How does the dog(s) react to the cat? How does the cat react to the dog(s)? Describe the cat and the dog(s) usual interactions together. For example, does the dog(s) chase the cat or do they sleep on the same bed together?

What brand and type of litter do you use?(Required)

Is it clumping or non-clumping, scented or unscented?

Are the litter box(es) open or covered?

Open

Covered

How many litter boxes do you have, and where in the home do you keep them?(Required)

What is your cat's favorite place to scratch?(Required)

Tell us the cat's preferences. Do they favor scratching vertically or horizontally, and what sort of texture does the cat prefer - carpet, cardboard, rope, letter, etc.? Does the cat have scratching posts, and do they use them or prefer scratching rugs and couches?

Have you ever temporarily boarded your cat, and what was their reaction?(Required)

What is the name of your veterinary hospital?(Required)

What is the name of your veterinarian?(Required)

When was the cat's last visit to the veterinarian?(Required)

How does the cat react while at the veterinarian's office?(Required)

Is your companion animal on any monthly topical preventative? These types of preventatives help prevent fleas, ticks, mosquitoes, etc and are in the form of a topical treatment usually placed between the shoulder blades in the fur. Sometimes for cats, it can be in pill form as well.(Required)

Yes

If the answer is YES, please specify the last time it was given and how often it was given. What is/was the brand? This is an effort to not double dose once they are surrendered to AWA.(Required)

Describe the cat's food and feeding routine.(Required)

What brand of food does the cat eat? Is it wet, dry or both? Does the cat prefer the food room temperature or cold? How much and how often are they fed? Is the cat free-fed or is the cat fed once or twice a day? Where in the house are they fed? If the cat lives in a home with other cats or dogs, where/how is the cat fed in relation to the other animals?

What would be the perfect home for this cat?(Required)

Additional Notes:

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