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Cat History Form (Intake)

This form is for clients who wish to return an animal adopted from the SF SPCA

"*" indicates required fields

Guardian Name*
Address*
How long have you had this cat?*
Cat's Sex*
Is this cat spayed/neutered?*
Why are you giving up your cat?*
How did you obtain this cat?
How was your cat raised?*

Where is the cat kept at the home?

Where does this cat spend its time?*
If this cat goes outside, how does it get out?*
Is this cat is restricted to/from any areas?*
Where does this cat sleep at night?*
When alone, has the arrangement above been successful?*

Feeding Information

What type of food does this cat eat?*
How often does this cat eat?*

Exercise, Play and Behavior Information

Does this cat receive regular play time with people?*
What types of items does this cat play with?*
Does this cat use a scratching post?*
What type of surface does your cat prefer to scratch on?*
Is this cat’s activity level:*
Is this cat most active:*
Does this cat have any areas it doesn’t like to be touched?*
What makes this cat nervous, or causes it to behave in a different manner than usual?*
Does this cat have a preference for?
How would you describe this cat overall?*

Litter Box Information

What type of litter box do you use?*

Type of litter? [check all that apply]*
When is the litter box scooped?*
When is the litter box dumped?*
When is the litter box cleaned?*
Where is the litter box located? [check all that apply]*
Is your cat litter box trained?*
Has this cat ever had an accident outside the litter box?*
What kind of accident?*
If yes, where was the accident? [check all that apply]*
How often were these accidents?*

Any recent changes in household or routine that might have triggered the problem?
Has this cat seen a veterinarian for this problem?*
Was the problem resolved?*

Veterinarian Information

Date of last visit:
Current on vaccinations?
Please add any additional information that you feel would be helpful for us, or a new owner. This will help us make the best possible match with a new home.

Upload Files

Drop files here or
Max. file size: 50 MB.
    Please upload any digital copies of medical records below. If you are unable to upload directly, please bring any physical copies to your surrender appointment.

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