CAT BEHAVIOR PROFILE - Bloomington, Indiana
CAT BEHAVIOR PROFILE
Cat’s Name: ______________________________ Age: ________
Sex: Female _____ Male _____ Spayed _____ Neutered _____
Declawed? Yes _____ No _____
How long has your cat lived with you? _________________
Where did you get your cat?
Breeder____ Pet Shop ____ Shelter ____ Family/Friend____ Stray I kept____
Cat lived primarily: Inside _____ Outside _____ Both _____
Why are you surrendering your cat?
_____ Moving _____ Too many pets _____ Can’t Afford
_____ Destructive _____ House-soiling _____ Landlord Won’t Allow
_____ No time for cat _____ Allergies _____ Aggression
_____ Other (please explain): _____________________________________________________
If aggression, please describe the behavior/circumstances: ____________________________
______________________________________________________________________________
How does your cat respond to the following?
| |Likes Them |Tolerates Them |Avoids Them |Is Aggressive |Don’t Know |
|Visitors | | | | | |
|Children | | | | | |
|Cats | | | | | |
|Dogs | | | | | |
If you checked “Is Aggressive” on any of the above, please describe the behavior:
______________________________________________________________________________
______________________________________________________________________________
Has your cat ever bitten anyone? Yes _____ No _____
If yes, did the bite break the skin? Yes _____ No _____
| |Yes |No |Don’t Know |
|Will your cat let you groom her? | | | |
|Will your cat let you trim her nails? | | | |
|Has your cat seen a veterinarian in the past year? | | | |
Name of veterinarian/clinic ______________________________________________________
Does your cat have any medical problems? Yes _____ No _____ Don’t know _____
If yes, please explain: __________________________________________________
Please describe any behavior problems your cat has: ______________________________ ______________________________________________________________________________
Other comments: ____________________________________________________________
______________________________________________________________________________
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