blueskyrescue14@gmail.com 952-212-1008 Feline Rehoming Questionnaire Blue Sky Rescue of Minnesota can help you rehome your cat directly from your home to a new one. In order to do this well, we need as much information as you can give us. Once this is received from the application below, then we will post the request for rehoming on our website. We look for homes that are good matches and will screen them thoroughly. A home visit is required. Once the adoption is final, we collect the adoption fee from the new home. Donations are welcome from you, but no fee is required. All animals must be up to date with shots and must be altered. If this is not the case and you cannot afford the vetting, we can help in some cases. Vet records must be available to us prior to beginning our search. Name of owner_________________________________ Address__________________________City__________________State___________Zip_______ Home phone _________________Cell_________________Email__________________________ Cat’s name ___________________Breed/Description______________________Age__________ Male _____Female ______ Coat Color ____________ Age of cat when obtained ____________ Microchip Company and Number ___________________________________________________ HISTORY Is the cat primarily an indoor cat _______ outside cat _______ or both _______ Were you the original owner_______ If no, where did the cat come from and at what age________________________ Does the cat use the litter box well _____________What kind of litter is used _______________ Is the cat declawed _____________If yes, at what age ________Have there been any litter box problems in the past _________ If yes, explain ________________________________________ Where does the cat sleep at night ________________________Does the cat use a scratching post __________ If yes, what kind ________________________________________________ When is the cat fed ______________ Where ______________________What brand of cat food and quantity _________________________________ MEDICAL Name of Veterinarian and Clinic ____________________________________________________ Address _________________________City ____________________State _________Zip ______ Phone ____________________ Email ___________________ Has your cat been spayed or neutered ____________ If yes, at what age ______________ Name of vet that provided this service _________________________________ Is the cat current on the rabies and distemper shots _______________ Dates last given _______ Has the cat ever been tested for feline leukemia/FIV _________ If yes when_________________ Can you provide a complete vet record ________ Does your cat have any health issues currently _______ If yes, please explain ______________ ______________________________________________________________________________ Currently on medication ________ If yes, list the medication _____________________________ Any past injuries or health concerns _______ If yes, explain ______________________________ TEMPERAMENT The owner hereby state that this cat has not bitten a human or shown unprovoked aggression towards another domestic animal. _______ (Owner’s initials) Or Describe in detail any situation where this cat has bitten a human or shown aggression towards another domestic animal. Describe behaviors that are annoying such as: Litter box problems Scratching inappropriately Waking you up at night Escaping outside Poor grooming habits Does the cat like to be groomed Does the cat get along with the animals _____________________________________________ Does the cat have any fears or negative reactions to: Storms Cars Firecrackers Strangers Vacuums Loud noises Certain type of people Other Describe your cat: Friendly Shy Active Mellow Aggressive Destructive Easy going Nervous Stubborn Noisy Quiet Playful A one person cat Other Age of children cat has been regularly exposed to and cat’s reaction: Baby to 5 years 5-9 10-13 Older Reaction to strangers How did you acquire this cat and at what age Friend Pet shop Gift Stray Breeder Animal shelter/rescue (please give name, address and phone #) Abandoned Other The information provided above is accurate and current. Signed________________________________________ Date_________________________________________