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Cat Adoption Survey
Thank you for your interest in adopting! Please complete this form and submit it, and someone will be in touch soon.
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* Indicates required question
Today's date
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MM
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DD
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YYYY
Full Name
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Your answer
Legally, adopters must be 18 years or older. Are you 18 years or older?
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YES
NO (someone 18 years or older must complete this form instead)
Required
Physical Address : City : State : Zip Code
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Your answer
Mailing Address : City : State : Zip Code
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Your answer
Primary Phone Number
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Your answer
Email Address
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Your answer
The following questions will help us determine if the animal you are interested in is potentially a good match for you and for the animal. Please be as descriptive as possible.
What is the name of the cat you are interested in? If you are interested in adopting a kitten, please type 'kitten'.
Your answer
Have you ever owned a cat before?
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Yes
No
If you currently have other animals at home, please list all of them here.
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Your answer
Please list all people who live in your home, including their ages.
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Your answer
What is the most important quality that your new cat needs to have (i.e. needs to be good with other cats or needs to enjoy being picked up)?
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Your answer
What type of energy level are you looking for in a new cat?
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High Energy
Moderate Energy
Low Energy
You're looking for a cat that is....
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Indoor Only
Indoor/Outdoor
Outdoor Only
Not Sure
How important is it that your new cat is friendly with other cats?
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Not Important
1
2
3
4
5
Very Important
How important is it that your new cat is friendly with dogs?
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Not Important
1
2
3
4
5
Very Important
How important is it that your new cat is friendly with small animals?
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Not Important
1
2
3
4
5
Very Important
How important is it that your new cat is friendly with children?
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Not Important
1
2
3
4
5
Very Important
How important is it that your new cat is friendly with teenagers?
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Not Important
1
2
3
4
5
Very Important
How important is it that your new cat is snuggly or enjoys being held?
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Not Important
1
2
3
4
5
Very Important
Sometimes cats can be quiet and other times can be quite chatty. Is vocalization of importance to you when it comes to adopting a new cat?
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Your answer
Sometimes we get cats that need a little work with socialization or may be a little slow to warm up at first. Is this something of importance when adopting?
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Your answer
What type of neighborhood to you live in (busy roads/woods, kids, dogs running around, etc.)?
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Your answer
Please describe your home environment/lifestyle (active, frequent traveler, work from home, lots of foot traffic, etc.).
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Your answer
Sometimes we get animals that need to be on special diets or daily medications/supplements. Is this something of importance to you when adopting?
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Your answer
Are you able to and/or comfortable with giving your new cat time to settle in before introducing them to new people and other animals?
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Your answer
Is there any additional information you would like us to know?
*
Your answer
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This form was created inside of Upper Valley Humane Society.
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