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Healing Hearts Sanctuary Socal

EIN: 39-2801580

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Wish List
Ways To Help
Adopt
Foster
Volunteer
DONATE
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Knowledge is Power
Contact Us

Adopt an Innocent Cat, And Make a Difference in Both Your Lives.

Thank you for choosing to adopt through Healing Hearts
Sanctuary SoCal. Every cat here has a story, and every adopter has the power to change a life. Your answers help us match you with a cat that compliments your life style.

Cat Adoption Questionnaire

Please answer all questions before submitting.

Cat Adoption - English

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Full Legal Name (First, Last)*

I am over 18 years old*

Yes

No

Date of Birth*

Month

Day

Year

Address*

Street Address City State / Province / Region ZIP / Postal Code

Phone Number*

Email Address*

Household Information:

Type of residence:*

House

Apartment

Condo

Other

Do you rent or own your home?*

Own

Rent

If you rent, does your lease and landlord allow pets?*

Yes

No

How many people (including yourself) live in your household?*

Age*

Relationship*

Age*

Relationship*

Describe your home environment (quiet, active, children, etc.):*

Do you have screens on all windows?*

Yes

No

If yes, please describe (secured screens, cat-safe windows):

Cat Experience:

Have you owned a cat before?*

Yes

No

If yes, tell us about them:

How would you rate your experience with cats?*

Beginner

Some experience

Confident

Do you currently have pets?*

Yes

No

If yes, list all animals currently in the home (type, age, how long you’ve had them):

Are your current pets spayed/neutered?*

Yes

No

Are your current pets up to date on vaccinations?*

Yes

No

Are your current pets up to date on flea/tick, heart worm medications*

Yes

No

Have you ever had to surrender or re-home a pet?*

Yes

No

If yes, please describe circumstances honestly (no judgement):

Cat Preferences:

What type of cat are you interested in adopting? (Check all that apply)

Cuddle buddy

Family companion

Playful/energetic

Mellow/calm

Companion for another cat

Companion for a dog

Independent

Senior (7+ years)

Kitten (up to 1 year)

What age cat are you looking for?

Kitten

Young adult

Adult

Senior

No Preference

Do you prefer a*

Male

Female

No Preference

Would you consider a special needs cat? (medical, behavioral, emotional, physical, senior)*

Yes

No

Are you comfortable administering medication if needed (oral, topical, etc.)?*

Yes

No

Do you work at home?*

Yes

No

How will you help your new cat adjust? (safe room, slow introductions, decompression, etc.)*

How will you handle challenges (example: scratching furniture, litter box issues, hiding, shyness)?*

If you leave town, who will watch your cat?*

Name*

Phone Number*

Email Address*

If your situation changes (move, new job, illness) what would happen to your new cat?

Veterinary Information:

Do you currently have a veterinarian?*

Yes

No

If yes: Veterinarians name

City

REFERENCE: (not related)

Name*

Relationship*

Email Address*

Phone Number*

Name*

Relationship*

Email Address*

Phone Number*

****If at any time you cannot keep your adopted cat, do you agree to return it to Healing Hearts Sanctuary SoCal?*****

Yes

No

AGREEMENT:*

I certify that all the information I have provided is true and complete. I understand that adopting a cat is a lifelong commitment of time and financial responsibility, and that Healing Hearts Sanctuary SoCal may verify any of the information provided.

Signature:*

Your Name
Your Name
Your Name

Print Name*

Date*

Month

Day

Year

Join Our Mailing List

Please enter a valid email address.

Something went wrong. Please check your entries and try again.

Healing Hearts Sanctuary Socal

EIN: 39-2801580

anita@healingheartssanctuary-socal.org

Email Us

Home
About Us
Wish List
Ways To Help
Adopt
Foster
Volunteer
DONATE
Shop
Knowledge is Power
Contact Us

Home
About Us
Wish List
Ways To Help
Adopt
Foster
Volunteer
DONATE
Shop
Knowledge is Power
Contact Us

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