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Feline Behavior History Form

PET INFORMATION

Name: _______________ Breed:_______________ Sex: M ( F ( Spayed ( Neutered ( Age:______

MEMBERS IN HOUSEHOLD

Please list all family members currently living in the household

|Name |Relationship |Sex |Age |Relationship with Pet |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

• Are there children that interact with your cat (other than those listed above)? ( Yes ( No

o If yes, please describe.______________________________________________________________________________________

________________________________________________________________________________________________________

• Who is the primary caretaker of the cat in your household?_________________________________________________________

PETS IN HOUSEHOLD

Please list all other pets currently living in the household.

|Name |Species |Breed |Sex |Age |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

| | | | | |

• Do all the pets in your household get along with each other and interact well? ( Yes ( No

• If Yes, please describe.________________________________________________________________________________________

__________________________________________________________________________________________________________

• Are any pets kept apart due to aggression? ( Yes ( No

o If yes, which pets?_________________________________________________________________________________________

o For how long are pets kept apart?_____________________________________________________________________________

o Please describe.___________________________________________________________________________________________

PET HISTORY

• Where did you get your cat?__________________________________________________________________________________

• At what age?__________

• At what age was your pet spayed/neutered?__________

• Is your cat declawed? ( Yes ( No

o If yes, is the cat front declawed or all four declawed? ( Front paws ( All four paws

• Did you meet the parents of your cat? ( Yes ( No

o If you met the mother, how would you describe her temperament (check all that apply)?

( Quiet ( Calm ( Excitable ( Unruly ( Bold ( Confident ( Shy ( Fearful ( Aggressive ( Other________

o If you met the father, how would you describe his temperament (check all that apply)?

( Quiet ( Calm ( Excitable ( Unruly ( Bold ( Confident ( Shy ( Fearful ( Aggressive ( Other________

o Do your cat’s parents/littermates show similar behaviors as your cat?

( Yes ( No (Unknown (Other______________

• For what purpose did you obtain your cat? (check all that apply)

( Companion ( Competition/Show ( Farm/Mousing ( Breeding ( Other_____________________________________

• If your obtained your cat as a kitten, please answer the following:

o How was it raised prior to your home? (check all that apply)

( Indoors ( Outdoors ( Kennel ( Garage ( Pet Store ( Unknown ( N/A ( Other_________________________

o How did you select your kitten? (check all that apply)

( Breeder selected ( No choice ( Outgoing ( Timid ( Size ( Markings ( Conformation ( Sex ( N/A

( Other_________________________________________________________________________________________________

o Did your kitten (10x/day ( 1-10x/day ( 1-6x/wk ( 10x/day ( 1-10x/day ( 1-6x/wk ( 10x/day ( 1-10x/day ( 1-6x/wk ( ................
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