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Cat Owner Surrender

Cat Owner Surrender Questionnaire

Sex of Cat
Male
Female
Spayed or Neutered
Yes
No
Unknown
Why are you surrendering your pet?
Where did you get your pet?
Current on Vaccines?
Yes
No
Unknown
Does this pet have any medical conditions or previous injuries?
Yes
No
Has this pet ever bitten a person or other animal?
Yes
No
Where did your dog spend most of it's time?
Does your cat have litter box issues?
Yes
No
What size/type of litter box do you use?
Covered
Uncovered
Automatic
None
Type of Litter. Check all that apply
What type of food does this pet eat?
Dry
Canned
Special Diet (please specify in the ADDITIONAL NOTES section below)
Has your cat ever been around other cats?
Yes
No
Has your cat ever lived in a home with dogs?
Yes
No
Does this pet have any behavior issues or destructive tendencies?
Yes
No
Have you tried to re-home your pet?
Yes
No
Do you understand that if you surrender this animal to us that it is a possibility that we will have to euthanize this animal (put it to sleep)?
Yes
No
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