Dublin SPCA Cat Health & Behaviour Pre-Boarding Questionnaire

Name of Pet: Name of Owner: Breed of Cat: Colour: Date of Birth (If Known): Age: Male/Female?: Spayed/Neutered?: Microchip No: Pet Insurance Details (Insurance Company & Policy No): Where did you get your pet (DSPCA\Breeder\Rescue)?: Have you ever boarded your pet before? Y/N Would you like your pets photo put on our Facebook page\Website?:

Health Please list any current health problems or concerns you may have with your pet:

Please list any past health problems of your pet:

Is your pet on any medication or is having at home vet care? If so please list in detail the name of medications, dosage and instructions for care:

List what medications you brought with you and how much\many:

Food Will you be bringing your pet’s own food with you?

What food do you feed your pet (wet\dry\brand):

How many times a day do you feed your pet and what times?

Amount of food per feed: Does your pet have food allergies or any snacks or foods he/she is NOT allow to have? (Kitty Treats, cat nip etc): What is your pet’s favorite Treat:

Page 1 of 3 Behaviour Is there any place your cat does not like to touched or petted, ie ears, stomach, etc?

Does your cat mind being lifted?

What kinds of activities does your pet like to do (i.e. toys, scratching post, chasing):

Is your pet litter trained? Y____N____ or in training? Y____N____ When you leave your house how is your cat confined: Left in one room ______Runs Free in the house ______Is Outside all of the time ______Stays outside apart from when I am at home ______Runs Free in The house but has access to go outside ______At night your pet sleeps: On my bed ____ On it’s bed beside mine ____ In the house free ____ In it’s outside box ____ What are your pet’s favorite toys: My Pet is: ___Good with other cats ___Not good with other cats ___Can bite or scratch unprovoked ___Likes to be left alone ___Likes affection on his/her terms ___Likes affection whenever it is given ___Can destroy things by scratching ___Will use a scratching post ___Likes to play with toys ___Will use a cat tree ___Likes a bed to sleep in ___Likes to spend some time outside ___Is afraid of loud noises ___Is afraid of thunder ___Is unsure of strangers ___Spends most of the time inside w/the family ___Is ok with brush grooming ___Is ok with nail trimming ___Rides well in a vehicle ___Does not ride well in a vehicle When my cat wants attention he/she will:

When my cat meows continuously it could mean:

What commands or phrases does your pet respond too? ( pusspuss, a whistle, etc)

Extra Information If there is anything else you could like me to know about your pet please use the space below. Please also

Page 2 of 3 include your pet’s daily routine and schedule.

Answer only if you have more than one cat staying:

My cats will need to be homed separately: ______Yes ______No What are the reasons for keeping them separate?

My cats will need to be fed separately: ______Yes ______No

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