Behavioral Questionnaire
Only fill out whats required and whats pertinent for your case
Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Cat’s Name:
Cat Gender:
Female
Male
Both
How was the cat acquired:
Has the cat been at the vet recently? Any medical conditions I need to be aware of?
Questions about the Household:
Who lives in the home?
Is the cat kept strictly indoors? How large is the home?
How are the members of the family interacting with the cat and how does the cat responds?
How much playtime does the cat gets? i.e 10 min per day
Do you have any other pets?
Yes
No
If you have other pets, how many and what type?
How does the cat interacts with the other pets?
Are there any triggers that you have noticed? if yes, explain
Is the cat declawed?
Questions about the Home Environment:
Can you tell me about your home environment? Where does the cat spends most of the time? Where do you usually interact with the cat?
Have there been any changes in the home, big or small, that may have caused your cat stress? I.new furniture, change in your schedule…
How did you introduce the cat to the new environment?
Are there any outdoor cats outside your house?
Yes
No
Questions for Litter Box Issues:
If the cat is declawed, what type of litter do you use?
How many litter boxes do you have?
Are the litter boxes open or close?
Where are the litter boxes located?
When and where is the cat urinating/pooping? Is the cat only urinating/pooping or is he defecating/urinating also outside the box?
Is the cat using the box at all? Explain
How is the cat behaving, besides the urination/pooping issue?
What have you done to address the problem?
Questions for Scratching of Household Items:
When and where is the cat scratching the furniture?
How often is the cat scratching the furniture?
How many scratching post do you have and where do you have the scratching post located?
What type of scratching post are these? Can you describe them?
IS the cat using the scratching post at all?
What have you done to address the problem?
Questions for Aggression Issues:
What do you mean by attacking/aggressive
When this behavior started?
When is this happening? How often?
Is this happening with someone else in the home?
What type of triggers seem to be creating these situations?
How does your cat behaves before, during and after the showing this behavior?
How would you describe the relationship between you and your cat, when the cat is not showing this behavior?
Is the cat showing this behavior every time she sees you?
What have you done to address the problem?
Questions for Inter-cat Conflicts:
What do you mean by the cats don’t get along?
When this behavior started?
How would you describe their relationship when they are not fighting?
When is this happening? How often?
What type of triggers seem to be creating these situations?
Are these strictly indoor cats?
Do they have additional behavior issues such as not using the litter box?
Are they fighting all the time? Or do they coexist peacefully sometimes?
How do they behave before, during and after the fight?
What have you done to address the problem?
Submit
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