Feline Consultation Form "*" indicates required fields Please answer the following questions in detail so we can best help you ensure the mental health and wellbeing of each of your cats is as good as it can be. Your Name* First Last Today's Date* MM slash DD slash YYYY Please list all the cats you care for belowCat's NameSex/Neuter StatusBreed (e.g., domestic shorthair)AgeAge at Adoption & Adoption Source (shelter, friend, stray, feral, breeder)Medical Conditions (if any)Temperament (disposition)Cat’s Fears (e.g., noises, other cat[s], everything, other) Add RemoveOutdoor InfluencesAre there outdoor cats that come onto your property? Yes No How many?If Yes, do you feed these cats? Yes No How many?How do your cats react to their presence—no reaction, agitated (hiss, growl), or attack other housemate cats? Please describe each of your cat’s reactions.Do your cats have outdoor access? Please describe for each cat (e.g., harness and leash, outdoor enclosure, free-roaming)Cat InteractionsDo your cats groom one another? If so, which cats?Do your cats rub against one another? If so, which cats?Do your cats sleep together touching? If so, which cats?Do your cats play together? Is the play mutual? Do any cats vocalize/cry out? If so, which cats?When do you see your cats in the same room? Always or often Occasionally Never Only when I am present Only at feeding time Does your cat exhibit this behavior: Staring (prolonged eye contact) Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Stalking (following with a low body posture) Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Blocking or preventing movement Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Cornering Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Chasing Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Growling, hissing, or biting Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Avoiding other(s) Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Hiding 50% of the time or longer (e.g., under a piece of furniture or in another room) Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Freezing in the presence of another cat Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Scratching other cats/pets Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Fighting with other cats/pets Yes No Which cat(s) display these behaviorsIf you have more than two cats with different types of relationships, describe how the behaviors differ between one cat and another.Undesirable BehaviorsDoes your cat exhibit this behavior: Eating non-food items Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Stealing human food or another pet’s food Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Biting or scratching people Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Repetitive behaviors (e.g., pacing, excessive vocalization, overgrooming) Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Urinating outside of the litter box Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Defecating outside of the litter box Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Not using the litter box at all Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Anxiety or other problems when people are not home Yes No Which cat(s) display these behaviorsDoes your cat exhibit this behavior: Scratching household items (describe which items) Yes No Which cat(s) display these behaviorsNote to veterinary professionals: if urination or defecation outside of the litter box or absence of litter box use is indicated, ask additional house-soiling questions, catvets.com/house-soiling). Home EnvironmentPlease describe any changes in the home environment within the past 6 months. These might include house remodeling, house move, humans blending households and cats, adoption of a new pet, loss of a beloved pet, visiting pet, family members moving away, family bereavement, etc.Where does each of your cats spend time in your home? Do some cats only stay in certain locations, or do all/any cats go everywhere?Describe each cat’s favorite resting areas and where they are located (include cat beds, carriers, cat trees or perches, on/under furniture, etc.).Describe each cat’s favorite play activities and how they occur (include cat toys, wand toys with people, commands, or cat-cat play).Do you provide scratching posts or other scratching surfaces? If so, please note the number, type(s), location(s), and which cat uses each.Has there been a change in scratching frequency, location, or substrate? Which cat(s)?Do any of your cats show an increase in scratching behavior when outdoor cats are present (if applicable)? Which cat(s)?How many litter boxes do you have and where are they located?Cat IntroductionsPlease answer the question and then, in the space provided, describe for each cat.Were your cats separated for any period of time before being introduced to each other? Yes No DescribeHow long were they separated? 1–7 days 1–2 weeks Longer Still separated DescribeHow were they introduced? Through solid barriers Clear barriers DescribeDescribe how each cat was introduced and over what period of timeUpon introduction, did you observe any: Hissing Yes No Which cat(s) display these behaviors?Upon introduction, did you observe any: Growling Yes No Which cat(s) display these behaviors?Upon introduction, did you observe any: Swatting Yes No Which cat(s) display these behaviors?Upon introduction, did you observe any: Chasing Yes No Which cat(s) display these behaviors?Upon introduction, did you observe any: Running away Yes No Which cat(s) display these behaviors?Upon introduction, did you observe any: Hiding Yes No Which cat(s) display these behaviors?Upon introduction, did you observe any: Fighting Yes No Which cat(s) display these behaviors?FeedingHow many food bowls/puzzle feeders are provided?Are all cats fed in one location? Yes No If yes, where?If there is more than one feeding location, where are they located? (Include which cat is fed in each location and if they can see each other.)Please elaborate on why you feed in these locations and groupings?Do any cats show daily or frequent regurgitation or vomiting of food? Which cat(s)?How do the cats respond toward one another during food preparation?How is each cat fed (e.g., bowl, puzzle feeder, other)?Are there problems with a cat interfering with another cat who is eating (by taking their food or sharing their food)? Please list names of those taking and those taken from.Litterbox Information (cats)How many cats are in the home?Has this pet ever eliminated consistently in the litterbox? Yes No When indoors The pet defecates in the box Never defecates in the box The pet defecates in the box ____ % of the timeHow many litter boxes are available?How many are covered boxes?Size/Dimensions of the boxesHow often is the litterbox cleaned?Type of litter used in the litterbox Standard clay Clumping Other OtherBrand of litter usedHow long has this brand been used?Where is the litterbox(es) kept?Please diagram your house below. Indicate areas of inappropriate urination, defecation, urine spraying, litterbox positions (cats) and feeding areasMax. file size: 256 MB.PhoneThis field is for validation purposes and should be left unchanged.
