Home Ever After – Cat Assessment Form Thank you for starting the journey of safeguarding your pet’s future welfare. By enrolling your furry friend in the Home Ever Program you will ensure your pet is always looked after come what may. To complete this form you will need to have to hand the following items: Your pet’s microchip number Your vet’s contact details Your pets medication details, if applicable Your pet’s vaccination record Your breeder’s details, if applicable We anticipate the form will take 20 minutes to complete. You can save the form and come back later if necessary too. If you have any questions about the form, please contact the Home Ever After team on 02 9782 4419. 1Personal Information2Vet Details3Cat Information4Environment/ Lifestyle5Play/Exercise6Family Relationships7Punishment8Can we? Personal InformationName* First Last Email* Phone: Mobile*Phone: HomePreferred method of contact Mobile Home Best time to contact Morning Afternoon Evening Address* Address line 1 Address line 2 Town/suburb State Postcode Second owner's details if any First Last Email PhoneYour HEA Agreement form must be witnessed, please provide their details: First Last Email Address Address line 1 Address line 2 Town/suburb State Postcode Vet Details (if available)Clinic Name Vet First Last Address Address line 1 Address line 2 Town/suburb State Postcode Phone Cat InformationName First Date of birth MM slash DD slash YYYY Breed Weight Sex Desexed? Yes No If yes, when? Microchip Number Registered with council? Yes No Colour Distinguishing Features Medications? Please SpecifyVaccinations Due/WhenWhere did you obtain this cat? Breeder (if applicable) Behaviour of parents or litter mates (if applicable) Environment/LifestyleFor what purpose did you get your cat? Companion Show Breeding Age Obtained FeedingType of food Amount Fed Frequency of feeding When fed and where? Who does the feeding? (describe eating) Favourite treat Supplements given Play/ExerciseFavourite game Type of exercise Amount/Frequency of exercise Amount/Frequency of play Favourite Toy(s) Describe where your cat stays at each of the following times:Daytime (owner away) Daytime (owner home) Night time When guests visit How long is your cat alone each day? Reaction prior to departure Reaction to homecoming Left alone outdoors? How often/long? Where is your cat when outside? Is your backyard fenced? Type of dwelling Family RelationshipsList family members (include sex and age):List all other pets including breed, age and sex:Describe how your pets get along with each member of the family and each pet:Briefly describe your cat's personality:HandlingHow does your cat react to the following? Nail Trimming Cleaning Ears Giving Medication Grooming/Bathing Petting Rubbing Belly Strangers visiting home Other cats on property DisciplineDo you use discipline with your cat? Yes No If yes, describe: Has any discipline made the problem worse? Yes No If yes, describe: AggressionIs your cat aggressive toward people? Yes No List any people your cat is aggressive toward: Has your cat ever bitten hard enough to break the skin or cause injury? Yes No Was there an illness or health problem when the aggression started? When your cat is aggressive what is your response? Additional Comments Elimination BehaviourDoes your cat use a litter tray? What type (covered/ uncovered/ double try/ liner?) Does your cat eliminate consistently in the litter tray? How many litter trays are available? How often is the litter tray(s) scooped? How often is the litter box changed completely? Type of litter Clay Clumping Crystals Other Brand of litter: How long have you used this brand? Where are the litter boxes kept? Is there a specific place for urinating inappropriately? Vertical surfaces (walls, sides of furniture, drapes)? Horizontal surfaces (floor, top of counter, paper, clothing/ other items left on floor)? Do strays or other pets visit your home frequently? Are the food/water bowls kept next to/near litter trays? Are the litter trays located close to any household appliances? Can we….Re-home with children? Re-home with male/female? Re-home with a dog? Re-home with another cat? Needs a quiet home? Anything else you would like to share?Phobias/ sweet characteristicsAdditional CommentsPlease attach a photo of your catMax. file size: 64 MB.Consent* By clicking on the submit button, you declare that you are the legal guardian of the pet and the information you have provided is accurate and true as of today’s date.
