FieldHaven Feline Center
2754 Ironwood Lane
Lincoln, CA 95648
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Cat Information Survey
This form can be completed for a number of situations:
1) Rehome your cat/kitten using FieldHaven's website/ Courtesy List and/or to bring your cat to one of our adoption venues for adoption. NOTE: your cat/kitten must be spayed/neutered and up to date on vaccines, etc.
2) Request consideration of your cat for intake into FieldHaven
3) Request assistance or referral for a a stray cat/kitten you are trying to find placement for.
4) Behavior assistance is needed to help resolve an issue you are having with your cat so that it may stay in your home.
Please indicate below which option you are interested in.
If the cat is a rescue just complete as much as you can on this survey. We understand that you may not know all your rescue's personality traits.
FieldHaven's capacity for bringing cats into our shelter is driven by adoptions; when 1 cat gets adopted that makes room for 1 needy cat to come to FieldHaven. We receive multiple requests each day to take cats in. We truly wish we could have room for every cat but we do not so we evaluate and triage each request to come up with an action plan. We will work with you to explore solutions other than surrendering your cat to a shelter if that is possible. We are very creative!
CIS (Cat Information Survey) Category
Apply for Owner Surrender to FieldHaven
Stray that I am looking to rehome
If you want to surrender your cat/kitten to FieldHaven are you able to provide financial assistance?
Please explain why you are rehoming this cat?
If you could find a solution would you be willing to keep your cat?
N/A-this cat is a rescue that I'm trying to find a home for
Cat Information and Medical History
How long have you owned your cat?
For multiple cats list information on all of them in the spaces below
Description (breed, color, etc)
Date of Birth (or approximate age)
Is your cat spayed or neutered?
Is your cat up-to-date on the FVRCP and/or Rabies Vaccines?:
FVRCP (combo vaccine)
Has your cat had a FeLV/FIV test done?
Is your cat microchipped?
Is your cat declawed?
All 4 declawed
Please provide any information you can about your cat's medical history.
Do you have copies of current veterinary records?
Current Vet/Clinic and Phone Number
(complete only what you know if this cat is a rescue you are looking for help with)
How would you describe your cat's personality? (Check all that apply)
Friendly to Family
Shy to Family
May nip/scratch if overstimulated
Friendly to Visitors
Fearful to Visitors
Gets along with kids
Gets along with other cats
Gets along with dogs
Not kid friendly
Not cat friendly
Not dog friendly
Please provide any additional information you can about your cat's personality.
Where does your cat primarily live? (check all that apply)
Indoors at night
Garage or basement
Indoors with access to outside
In barn or shed
Comments on your cat's living environment
How would you describe the ideal home for your cat?
Please tell us some things you truly love about this cat!
Are there any quirks or habits you are not fond of in your cat?
Does your cat have any litterbox issues?
If yes, please describe
Description and Biography
Please give us your best description of this cat. What is his/her "story"? What type of disposition does s/he have? Any information your can provide to assist us with helping you and the cat.
Do you want your cat to be placed on the waiting list to come into FieldHaven's shelter should space become available?
Thank You! We look forward to helping you
We receive multiple requests each day so it may take us several days to review your information. We will evaluate your Cat Information Survey and contact you soon.
Any medical records or other documentation can be faxed to 916-644-6415 or mailed. Please send any digital photos to email@example.com.
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