CLIENT QUESTIONAIRE: FELINE ELIMINATION PROBLEMS
Owner’s name: _____________________________
Date: ___________________
Pet’s name(s): ______________________________
1. How many litter boxes are available for the cat(s)?
2. For each litter box please answer the questions in the table below.
Box number
Covered or uncovered
Size of box
Location of box
Depth of box
Liner?
Liner scented?
Type of litter
Litter scented?
Most used box
Frequency of changing litter
Frequency of washing box
Deodorants used in cleaning?
Number of cats sharing box
Box 1
Box 2
Box 3
Box 4
3. Please describe your cat’s behavior in the litter box. (Does it get in the box or stand outside
or on the edge, does it dig before/after elimination etc?)
4. Does the cat eliminate in the presence of other animals or people, or is the elimination
behavior secretive?
5. Will the cat immediately use a freshly cleaned litter box?
6. Has the cat ever had any variation in whether it covers its feces or urine, and is any of that
variation associated with the presence or absence of any other situation or cat?
7. Does the cat ever vocalize while it eliminates?
8. Will the cat spray against the back of a covered litter box?
9. Does the cat ever use a shower or bathtub for elimination? If so how frequently?
10. Please describe specifically what areas other than the litter box are ever used for elimination.
Write a complete list and include frequency of use and whether horizontal or vertical surface
(eg. floor, bed, tub vs. wall, back of chair, corner of furniture)
Location
Frequency of use Horizontal surface?
11. Please list all pets that live in the household.
Name
Species & breed Age Sex, spayed or neutered?
Vertical surface?
How long in
household?
11. Please describe the interactions between pets in the household.
12. Please attach an additional sheet with a simple floor plan of your home and indicate where
the following are located: litter boxes, food bowls, sites of inappropriate elimination,
windows, doors and preferred resting locations.
13. Is there anything else you think I should know?