HART cat most interested in:
Application Date:
Why did you choose this particular cat?
Referred By:
No. of Children:
Age(s):
In Future:
Total number of people currently in the household (include yourself; your family members; roommates; etc.)
Please list members of household & relationship to you (Roommate, child, husband, mother, etc.):
Do you anticipate a change in who will be living in your home within the next year?
HOME ENVIRONMENT
Area of home:
Type of home:
How long have you lived at this address?
Do you currently have plans to move to a different home within the next year?
Place(s) of employment of adults in family?
How long?
Any plans to transfer to another location or change employment in the foreseeable future?
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How many hours a day will your HART cat be left alone?
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Where will your HART cat be kept when alone?
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How often do you travel for business and/or pleasure?
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Who will care for your cat while you are on vacation/travel?
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How will you encourage and reinforce appropriate behavior?
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How will you prevent/manage inappropriate behavior?
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What do you foresee as normal cat/kitten problems?
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Will your HART cat ever be allowed outside?
If Yes:
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What will you do with your cat if you have to move?
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I would consider giving my cat back to HART if the following situation(s) were to arise
(Please check all of the following that you think might apply):
Comments:
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Where will the cat sleep at night?
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Where will the cat eat?
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Where will you keep the litter box?
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How often would you scoop the litter box?
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What behavior(s) would cause you to get your HART cat declawed?
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Do you currently have a Dog?
If Yes, is the dog cat-friendly?
If No, do you plan on getting a dog in the future?
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Do you have a doggy door?
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Do you have a fenced yard?
FINDING THE PERFECT MATCH
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Who will be the primary/sole caretaker of the cat?
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Why do you want a cat?
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What age most appeals to you?
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What aspect of a cat is MOST important to you?
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What activity level MOST appeals to you?
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Type of Coat:
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Is someone in the family willing to brush your cat often?
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Does anyone in your family have allergies to dander/hair?
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How much do you think it costs ANNUALLY to own a cat? $
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How often would you take your cat to the vet?
PET HISTORY
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Have you ever owned a cat or dog?
If Yes, please list:
Please tell us where your pets came from (breeder, shelter, pet store, rescue group, stray, friend):
If you have owned more pets than listed here, please inform the HART representative that contacts you.
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What vet(s) have you used most recently/regularly with your pets? Please provide vet contact information for
each of the pets that you've owned within the last five years, even if some/all of these vets are out of state:
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Have you ever had to give up a Pet (Cat/Dog/Other) for any reason?
If Yes, what happened to the Pet:
Explain:
Comments:
Will you permit a home visit by a HART Representative?
Do you authorize a vet reference check by a HART Representative?
Have you ever applied to adopt from HART before?
Have you ever adopted from HART before?
How did you hear about HART?