Jessica Paws
Home
Pet Services
Learn to Groom Pets
Cat Grooming
>
Cat Grooming Services
Why Groom Cats
Grooming FAQ
Request An Appointment
About Me
Blog
Store
Contact
Feline Behavior History Questionnaire
This questionnaire is very in-depth and will take some time to fill out. Please be as descriptive as possible, as your responses will greatly help your trainer determine the most appropriate training plan for your kitty. Thank you!
*
Indicates required field
Your Name:
*
First
Last
[object Object]
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email:
*
Phone Number:
*
Your Veterinarian:
*
Veterinarian's Phone Number:
*
Date of Last Vet Exam (MM/YY)
*
Spayed/Neutered?
*
Yes
Not Yet, but I plan to.
No, and I do not intend to.
List All Major Surgical or Medical Problems and Approximate Dates:
*
List All Supplements & Medications, Time(s) Given and Dosage Taken by This Cat:
*
About Your Cat
Cat's Name:
*
Cat's Breed(s):
*
Current Age:
*
Gender:
*
Female
Male
Rate Your Level of Experience With Cats:
*
Novice- "this is my first cat/its been a while"
Moderate- "I had cats growing up"
High- "I have owned many cats throughout my life"
Describe the Cat's Personality:
*
When Did You Get Your Cat? (MM/YY)
*
Where Did You Obtain Your Cat?
*
Shelter/Rescue
Friend/Family Member
Found as a Stray
Pet Store
Breeder
Other
Why Did You Want To Get a Cat?
*
Companionship
Friend for Other Cat/Dog
To Breed
To Show
* Other
* If Other, please specify:
*
Principal Complaint
If you are experiencing a behavior problem with your kitty, please fill this section out thoroughly and completely. If you do not have any behavior complaints, you can skip this section.
Please Describe the Primary Problem and How It Developed:
*
When Did the Problem Start? (MM/YY)
*
Describe the First Incident:
*
Check Any Additional Concerns:
*
Aggressive Barking/Posturing
Chews Self
Chews/Eats Non-Food Items, Plants, etc.
Destructive (digs, chews, scratches)
Excessively Demanding
Excessive Nocturnal Activity
Gets on Furniture Where Not Permitted
Gets into Rooms Where Not Permitted
House Soiling
Hunting
Roaming
Scratching People
Biting People
Mounting/Humping
Urine Marking (Spraying)
Sexual
Sleep Disorders
Wild/Unruly
Excessive Vocalization/Howling
Other
The Severity Is:
*
Mild
Moderate
Severe
How Many Times Has the Problem Occurred:
Past Week:
*
Past Month:
*
Past Year:
*
Describe Any Changes in Frequency or Appearance:
*
List All Medications That Have Been Prescribed for a Behavior Problem and Their Result (include dosage, schedule and duration used):
*
Have You Considered Euthanasia?
*
Yes
No
Comment:
*
Explain Any Additional Concerns That You Checked at left:
*
Environment & Lifestyle
Type of Home:
*
House
Apartment
Condo
Other
List Each Family Member: (Name, Age, Gender and Daily Schedule)
*
List All Other Pets in Order Obtained: (Name, Species, Breed, Age Now, Age Obtained)
*
Describe How Your Pets Get Along, Including Who's In Charge:
*
Have There Been Any Changes in the Household that your Cat Had Difficulty Adapting To? (births, deaths, members moving in/out, changing houses, etc).
*
Does Your Cat Get Along With Other Animals?
*
Describe Where Cat Stays at Each of the Following Times:
While Family is Home:
*
While Family is Away:
*
While Family is Asleep:
*
When Guests Visit:
*
How Long is the Cat Left Alone on the Average Day?
*
Cat's Reaction to Being Left Alone:
*
How Does Your Cat React to Unfamiliar People?
*
Cat's Favorite Resting Spots:
*
Diet
% Dry
*
What percentage of your cat's diet is made up of dry kibble?
Brand:
*
% Wet
*
Brand:
*
% Other
*
Type (Scraps, Supplements, Treats, etc):
*
How Many Times/Day is the Cat Fed?
*
By Whom?
*
Time(s):
*
Location:
*
Does Your Cat Finish Their Meals?
*
% Leftover
*
Describe Your Cat's Feeding Habits:
*
Poor Eater
Picky
Normal Appetite
Voracious Appetite
What Is Your Cat's Favorite Treat(s)?
*
When Do You Give Your Cat Treats?
*
Activity
Time Cat is Most Active:
*
% Time Indoors:
*
% Time Outdoors:
*
When Outdoors, is Cat Supervised?
*
Yes
No
If Yes, How So?
*
Supervised Free Roaming
On Leash
Stroller
Carrier
Catio/Enclosure
Cat-Proof Fencing
Does Your Cat Run Free?
*
Yes
No
If Yes, When?
*
Where?
*
How Long?
*
What Is Your Cat's Favorite Activity?
*
Does Your Cat Play With Toys?
*
Yes
No
How Often?
*
Favorite Toy(s):
*
Does Your Cat Play With People?
*
Other Cats?
*
How Does Your Cat Respond to Catnip?
*
Describe Cat's Grooming Habits:
*
Frequent
Very Little
Excessive
Normal
Are There Situations that Cause Grooming to Increase?
*
Does Cat Have a Scratching Post?
*
Yes
No
If Yes, Describe Size:
*
Describe Shape of Scratching Post:
*
Describe Location of Post(s):
*
Does Cat Scratch Anywhere Other Than Its Scratching Posts?
*
Yes
No
Describe Locations/Types of Surfaces Preferred to Scratch:
*
Does the Cat Suckle or Knead? If so, what objects?
*
Handling & Social Behavior
How Does Your Cat React to:
Nail Trimming:
*
Brushing:
*
Rubbing Tummy:
*
Giving Medication:
*
Bathing:
*
Being Lifted:
*
Cleaning Ears:
*
Patting Head:
*
Being Held:
*
Describe Cat's Reaction to:
Familiar Cats:
*
Familiar People:
*
Unfamiliar Cats:
*
Unfamiliar People:
*
Describe Any Past Training:
*
My Cat's Ability to Learn is:
*
Fast
Slow
Easily Distracted
I Don't Know, I've Never Tried
Have You Used Any Correction Techniques?
*
Physical (Hitting, Spanking)
Noise (Shaker Can, Tsst-Tsst, Siren)
Ultrasonic or High Frequency Sound
Water Spray Bottle
Verbal/Shouting
Time-Out
E-Collar
Other
What Commands Does Your Cat Respond to?
*
Describe Any Situations Where Your Cat is SHY, TIMID or FEARFUL:
*
How Does Your Cat React When Frightened?
*
How Successful Were Each of These? (High/Med/Low/None)
*
Has Any Punishment Made the Problem Worse or Cause Aggression?
*
Elimination
Where Does Your Cat Eliminate?
*
% Outdoors
*
% Indoors
*
How Many Litter Boxes Do You Have?
*
How Often is the Litter Box(s) Cleaned?
*
How Often is the Litter Changed Completely?
*
Who Cleans the Box(es)?
*
Is There a Type of Litter the Cat Strongly Likes or Dislikes? Describe:
*
Is There a Type of Litter BOX the Cat Strongly Likes or Dislikes? Explain:
*
Are there Litter Box LOCATIONS that the Cat Strongly Likes or Dislikes? Explain:
*
Do the Cats Share Litter Boxes?
*
Yes
No
Comment:
*
Does Your Cat Dig/Bury After Eliminating?
*
Yes
No
Comment:
*
Is Your Cat Eliminating Outside of the Litter Box?
*
Yes, Urine Only
Yes, Feces Only
Yes, Both
No
* If you answered YES, please also submit the Inappropriate Elimination Form when you are finished with this questionnaire.
Submit
Home
Pet Services
Learn to Groom Pets
Cat Grooming
>
Cat Grooming Services
Why Groom Cats
Grooming FAQ
Request An Appointment
About Me
Blog
Store
Contact