Email Address

Phone Number

Address

Occupation/s

Other household members/ages/occupations

Please include other pets in the household

Cat/s name/s

Cat/s age now / age when adopted

Breed / Sex / Desexed / Vet Clinic

Breed or best guess / M or F / Y or N / age when desexing

History / what is known about the cat's background

Is this your first cat? Where did you adopt the cat from? Parents? Number of in the litter? Rescue? As much info as you know

Medical history

Operations / behaviour before / after desexing ; medications / allergies / food allergies / any injuries or illness current or past / last vet visit and any notable results / medications / supplements / flea / worm / tick

Diet

What do they eat? When and how much? Favourite treats and chews? Any sensitivities?

Sleep pattern

how often? how long? where?

How would you describe their personality and temperament?

Behaviour history

Again, please include as much as you can think of, what they are like with other animals, relationship to animals in the household, relationship to people, what makes them happy, how relaxed are they, are they sensitive to anything - noise, touch, travel, what activities do they like, what makes them anxious, what they are like at the vet, how do they display any of this behaviour? Any bite or scratch history, what level and frequency ie, scratch the skin, puncture the skin, single bite/scratch or multiple.

Resting Respiratory Rate

To check your cat’s respiration rate, count his chest movements (in and out is one breath) for 20 seconds and multiply by 3 to get the total number of breaths per minute. Practice at home, when you and your cat are both very relaxed or your cat is asleep.

Presenting behaviour complaint

For how long has the cat’s behaviour and/or health been a concern? Did the issue/s arise suddenly or have they been progressive? Any incidents or environmental changes you can think of, no matter how small, new animal /neighbour /groomer etc? Is the behavour directed towards any particular family member, strangers, children or other pet in the house? When does it happen, during petting, handling, walking past, carrying, at vets etc? How often are the behaviours occurring, daily, weekly, monthly, randomly, other? What circumstances, times, do you think may predict the behaviour occurring?

Any other general behaviour issues?

Training goals

What are your training goals, short, mid and long term? How much time to you have to commit to a behaviour modification program? 1. Very busy don’t have much time to commit to training 2. I can schedule in a few sessions a week training 3. I can schedule in daily training if I know what I am doing 4. Whatever it takes, I’m totally committed to training 5. Other…. please explain………… Are you prepared for it to take time to resolve, sometimes months or more? 1. yes 2. uncertain 3. can't do that

Behaviour modifcation requires commitment to training and sometimes sacrifice. In the words of Ken Ramirez "Are you willing to sacrifice something to fix the problem?" What are you willing to sacrifice? Time, routine, money, space, social life... other?

In the words of Ken Ramirez "Are you willing to sacrifice something to fix the problem?" What are you willing to sacrifice? Time, routine, money, space, social life... other? If behaviour problems are not resolved to your satisfaction OR should you not have the ability to participate in training what other considerations have you made? - Rehoming - Rehoming is not an option - Haven't decided on any other option

Previous training history

Trainers, age of cat, method of training? How did your cat respond to training? How do you show your cat your are pleased with their behaviour? How do you show your cat you are not pleased with their behaviour?

How do they respond to any stress in the environment?

Time spent inside / outside

Current amount of time spent on physical and/or mental activities

Please separate and describe

Any changes to your life or cat's home environment?

**This is VERY important** Change in your relationship, health, your medical status, family financial issues, stress levels, moved house, death of animal or person?ANY AND ALL information is good even if you think it’s "nothing". I assure you I'm not interested your personal life rather, because behaviour does not happen in isolation, I'm looking for any/all experiences that are influencing your cat/s behaviour.

Litter box

Please describe your litter box/s, location, covered, sides, lined. Also note type of litter, depth of litter in box, how many litter boxes per cat. How often do you scoop the litter box( multiple times a day, daily, weekly etc)? How often do you completely empty and replace litter (weekly, monthly)? Please describe urine, smell, colour, where sprayed, puddles, feces, firm, soft hard, in or out of the box. If your cat is urinating or defecating outside of the box please describe where they are doing it and on what other materials they are doing it on. Is it hidden in closets or in main areas of the house, in the laundry etc? Are they targeting other pets bedding, toys etc or human or anything you can pinpoint?

Scratching

Does you cat have a scratching post? how many? Please describe them. Does the cat use it? Does it move or is it sturdy?Does the cat scratch other surfaces? Furniture, carpet, beds, wallpaper, windows, fabric etc please describe.

Nail care

Are your cat's nails trimmed? If so, how often? Who trims them?

Other

Was your dog allowed to meet and greet dogs on lead as a puppy? Has he had any incidents with other dogs while he’s been on the lead or tied up? What is she like off lead? Any particular breeds /colour /coat type that he reacts to? Does she go to a groomer? How does he cope? Have you ever stayed to watch? Do you live by an AirBnB? Etc etc etc

Cat Intake

Cat Intake Form