Cat Behavior Screening Questionnaire
Please complete this questionnaire to help us understand your cat's behavior and environment.
Owner's Full Name
*
First Name
Last Name
Owner's Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Cat's Name
*
Cat's Age (in years)
*
Cat's Gender
*
Male
Female
Unknown
Is your cat spayed or neutered?
*
Yes
No
Unknown
How long have you had your cat?
*
Please Select
Less than 6 months
6 months to 1 year
1-3 years
More than 3 years
Please rate the frequency of the following behaviors in your cat:
*
Rows
Never
Rarely
Sometimes
Often
Always
Aggression toward people
1
2
3
4
5
Aggression toward other animals
6
7
8
9
10
Excessive vocalization
11
12
13
14
15
Inappropriate elimination (urination/defecation outside box)
16
17
18
19
20
Destructive scratching
21
22
23
24
25
Fearful or hiding behavior
26
27
28
29
30
How does your cat interact with household members?
*
Friendly with everyone
Friendly with some, avoids others
Aggressive towards people
Fearful or shy
Other
Does your cat have any specific triggers for behavioral issues (e.g., certain people, animals, noises)? Please describe.
How many litter boxes are available in your home?
*
What type of food does your cat primarily eat?
Dry food
Wet food
Raw diet
Mixed
Other
Please rate your cat's overall activity level.
*
1
2
3
4
5
Is there anything else you would like to share about your cat's behavior?
Submit
Should be Empty: