Please list the names, and ages of everyone in your home and their relationship to you. *
Your answer
Please list the name(s) of the cat(s) in your home and their current age(s).
Your answer
How long has each cat (by name if more than one) been in your home?
Your answer
What is the name of the cat that is going outside the litter box? *
Your answer
Is the cat in question male or female? *
Is the cat who is going outside the box surgically altered (spayed/neutered)? *
Where did the cat in question come from? *
If your cat came from a rescue, shelter or similar type of "org" please specify the org's name and location.
Your answer
Approximately how confident or how nervous would you describe the cat in question's general demeanor. *
Extremely nervous
Extremely confident
How needy/clingy and/or bonded is the cat in question to you? *
Very independent
Like velcro, super bonded/needy and/or clingy
Is the cat in question an indoor, or indoor/outdoor cat? *
If the cat is allowed outside, did the problem begin after he/she began going outside?
Clear selection
If you have other cats, are any of them indoor/outdoor cats? *
If you have other cats, how well does the cat in question get along with the other cat(s)?
Extremely Poorly. There are significant amounts of either fear, stress or aggression or a combination of all the above.
Extremely Well. They are best buddies and do some combination of playing, sleeping and/or grooming together.
Clear selection
If there is more than one cat in the home please describe how they get along. Use names, and genders for each cat. Please describe in your own words some typical interactions between them. Include the *worst* interactions and their frequency.
Your answer
Is there a history of inappropriate elimination prior to coming to your home and if yes, please give known details.
Your answer
Is the cat urinating, or defecating outside the box, or both? *
With what frequency (approximately) is the out of box behavior occurring? Feel free to add details in "Other" at the bottom. *
Required
If defecating, please describe the stool.
Clear selection
Do you use an enzyme cleaner where the cat is going like Nature’s Miracle or Anti-Icky Poo? If "No", please describe other cleaning techniques. *
Your answer
Do you have any dogs? *
If you have a dog, who arrived first, the dog or the cat?
Your answer
If the cat arrived first, did the inappropriate elimination start after the arrival of the dog? Include details if applicable.
Your answer
If there is a dog(s) in the home, how well do they get along with the cat who is going outside the box?
Your answer
If the cat that is going outside the box was altered (spayed or neutered) how old were they when this was done and how long ago (if known)?
Your answer
If there are other animals in the home, are they all surgically altered?
Did the cat in question begin going outside the box prior to being surgically altered (if known)? Describe as needed. *
Your answer
Information About Your Cat(s) Behavior
Does your cat let you catch them in the act or generally speaking are they doing this while you aren’t observing? *
Your answer
If your cat is urinating AND you have sometimes caught them in the act which of the following do you observe? *
Do you see evidence that they have tried to cover it up, either an upturned carpet, digging or scratching marks, or you see them attempt this?
Clear selection
How long ago did this behavior start? Days/weeks? Months? Years? *
Your answer
Do you remember the first occurrence or early occurrences? If yes, please describe the details. This is important, please give it some thought. *
Your answer
Can you think of anything that changed in the home when this behavior began? Check all that apply. Examples include: *
Required
Where is the cat going outside the box? Describe all locations as best as possible including location(s) relative to the litter box(s) and distance from same. Use as much space as needed. *
Your answer
On what type of surface is the cat eliminating? (Check as many as apply) *
Required
Does soiling occur near a window? *
Are there neighborhood cats near the home? *
Have you seen other cats near your home? If yes, describe the circumstances.
Your answer
If urinating, is it on (check all that apply) *
Is the cat being harassed or ambushed by another cat or dog at the box? If yes, describe *
Your answer
Does your cat like to immediately use a freshly cleaned or scooped litter box? *
Does the cat principally or exclusively go outside the box when the home is empty of people? Briefly describe if helpful.
Your answer
Does the cat go outside the box when one or more people are away overnight or longer? Describe. *
Your answer
Litter Boxes and Litter
How many boxes do you have? *
Your answer
What are their approximate dimensions? (H x W x L) and please specify if inches or cm. *
Your answer
Where is the litter box(s) located? *
Your answer
Are the boxes in enclosed or open areas? Describe. *
Your answer
What floor(s) of the home are they located on? *
Your answer
How many floors does the home have? Please include a basement as a floor. *
Your answer
Are they covered or uncovered or automatic? (Check all that apply) *
Required
If there is more than one box, does the cat show a preference for one over the other(s)? If "Yes" please describe. *
Your answer
Do you use a plastic litter box liner? *
What type of litter do you use? (Choose all that apply) *
Required
If you selected "Other" above, please describe the litter. Include litters you have tried in the past but are no longer using.
Your answer
How often is the box(s) scooped? *
Your answer
How often is the box(s) physically cleaned (and refilled with new litter)? *
Your answer
What do you clean the box with? A strong household cleaner? Anything with ammonia or bleach? Mild dish soap or an enzyme cleaner? Or is it not cleaned separately from scooping? *
Your answer
Are any litter boxes near objects that create noise or that move, such as washing machines, dishwashers, televisions, stored vacuum cleaners, chiming clocks, exercise equipment, etc.? If yes, describe *
Your answer
Does your cat (select currently or in the past below) display any of these urination patterns? (Check all that apply) *
Required
And Finally....
Is the cat declawed? If yes, at what age was this done? Were there behavior changes afterwards if applicable (Describe)? *
Your answer
Have you used any punishment in response to the house-soiling (rubbing nose in the urine or
stool, spanking, tapping, squirting water, yelling, stern voice, confinement, or other)? If yes, please describe or answer "No". *
Your answer
Is your cat currently being treated for any medical conditions and if yes, describe *
Your answer
Was your cat treated for any medical conditions when this behavior began and if yes, describe *
Your answer
If the cat is urinating outside the box, have they been to a vet to check for medical conditions like UTIs, crystals in the bladder or cystitis (inflamed bladder)? *
When was your cat last seen by your vet? *
Your answer
Was your cat ever treated for: *
Required
Is there anything else you wish to add?
Your answer
And finally, is the problem so serious that you are considering, or have considered surrendering your cat? *
THANK YOU! There were a lot of questions and I appreciate your patience in answering! Litter box issues are complex! Please contact Stephen at support@catbehaviorhelp.com to schedule a behavior consult if you haven't already done so. You can also book directly using my scheduling link here.
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