Cat Behaviour History Form

Select a surgery

First Name

Surname

Address

Contact Phone Number at Time of Appointment

Email Address

Have you owned a cat before?

Yes
No

Have you owned this breed of cat before?

Yes
No

Have you owned other pets previously?

Please list other current household pets

Please list the names, ages and occupations of all family members at home

Cat's Name

Breed

Gender

Male
Female

Has the cat been neutered?

Yes
No

Date of Birth

Date Obtained

Reasons for obtaining the cat

Has the cat ever been used for breeding?

Yes
No

If yes, at what age?

How would you describe your cat’s personality?

Please give details of the cat’s early life, if known, including litter size, age of weaning, age obtained, whether raised outdoors or indoors, if orphaned or stray, whether hand reared etc…

How much interaction did the kitten have with people in the first year of life?

What method of litter training was used?

How did you react to any mistakes during litter training?

Diet

What types/brands of food do you give to your cat?

How much does your cat eat per day?

When and where is the cat fed?

Who feeds the cat?

How many food bowls are provided and where are they placed??

Is the cat’s appetite good or poor?

Good
Poor

Does your cat eat quickly or slowly?

Quickly
Slowly

What are your cat’s favourite foods?

How much water does your cat drink per day?

Does your cat drink milk and if so, what kind and how much per day?

Do you add any supplements or titbits to the diet? If yes, what and why?

Activity

Where does your cat sleep at night?

Where does your cat sleep during the day?

Is your cat very active at night?

Yes
No

When does your cat get up in the morning?

Does your cat tend to seek out high places to rest?

Yes
No

Where can the cat normally be found during the day?

Cat Behaviour History Form

Diet

Activity

Family Members

Please only complete this section if the problem is related to house soiling

Please only complete this section if the problem is related to aggression