Pets Bring Joy - Owner Assistance Questionnaire
Please complete this questionnaire as completely as possible so we may best assist you.

Revised on 6/6/2019
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Email *
Please Tell Us About Yourself
Your name: *
Your email address again please: *
Best phone number(s) to reach you: *
Your full address (street, city, state, zip code) *
What are your reasons for seeking a new home? *
How soon do you need to surrender your cat(s)? *
What have you tried thus far to be able to keep your cat(s)? *
Please Tell Us About Your Cat(s)
From where did you originally adopt your cat? *
If a rescue group have you contacted them to take the cat back ? *
If you did not contact the rescue group, please tell us  why.
Name, age, gender and breed of cat(s) you would like help with: *
Please provide a physical description (color, fur length, unusual markings, etc.) of your cat(s): *
How long have you had your cat(s)? *
Do your cat(s) have access to the outdoors? *
Please provide details on your answer regarding outdoor access: *
Please Tell Us About Your Cat(s) Personality
How would you describe your cat(s) temperament and personality to a potential adopter? *
Do your cat(s) have any behavioral issues?  If so, please explain: *
Do your cat(s) get along with the following? (please check all that apply) *
Required
Under what circumstances does your cat(s) scratch or bite? *
Veterinary and Medical History
Have your cat(s) been spayed/neutered? *
Do your cat(s) have any special medical needs or issues?  If so, please explain: *
Are your cat(s) on any prescription medications?  If so, please tell us medications, dosages, and frequency. *
When did your cat(s) last have a wellness exam? *
When was the last dental exam performed on your cat(s)? *
Has your cat(s) ever had any teeth extracted?  Please explain. *
Has your cat(s) ever had blood work analysis performed? *
If you answered "YES" to blood work, please explain the reason and results. *
Are your cats up to date on vaccinations (rabies, FVRCP)? *
Have your cat(s) been combo tested for FIV and FeLV? *
How frequently does your cat have a litter box accident? *
Please provide name(s) and phone number(s) of all vets who have seen your cat(s) in the past 5 years: *
Do we have permission to contact your vet(s)? *
Final Questions
In order to determine if we are able to properly care for your pet while in our foster care, please provide the following information.
Senior cats (8 years or older) may need blood work and/or dental care. Are you willing to get this medical work done prior to surrendering your cat(s)? *
Are you able to continue to care for your cat(s) in your home while we look for an alternative one?  (Pets Bring Joy has a wait list for incoming cats, and may not be able to provide a foster home for your cat at this time.) *
What amount are you willing to donate as a tax deductible donation to help us offset the costs of fostering your pet and any medical expenses we might incur? *
Thank you. We will contact you soon on how we can best assist you during this difficult time.
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