EmailMeForm
Adoption Questionnaire
How exciting! Someone is getting a kitty! The more we know about you, the better we can help to find your new feline BFF. So please fill out the below and don't forget to tell us about what you are looking for in a cat!
Name
*
First
Last
Email
*
Phone
*
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Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Occupation
*
What is your experience with animals?
Do you rent or own your home?
*
Rent
Own
Live with relatives
If you rent, does you landlord allow pets?
*
Yes
No
Landlord's Name & Phone #
Are all adult members of your household in favor of this adoption?
*
Yes
No
Unknown
Is anyone in your home allergic to cats?
*
Yes
No
Unknown
What is the age of the youngest child living in your home?
*
None
Under 6 years old
Over 6 years old
Why do you want a cat?
*
Companion
For the children
Mouser
Help us find
*
one kitten
a cat for our cat
a pair of feline
we are open
We were thinking
*
kitten 4 months and under
kitten 6 months and under
kitten 1 year and under
young cat 3 years and under
we dont care about age it's all personality!
the right personality for me
*
cuddle bug
adventurer
rebel rouser
lap cat
Have you ever had a cat before?
*
Yes
No
If yes, what happened to the cat(s) that you have had in the last five years (mark all that apply)?
*
Still have
Gave Away
Ran Away
Died
Other
Do you have any other pets?
*
Where will the cat be kept during the day?
Inside
Outside
Where will the cat be kept at night?
Inside
Outside
How many hours a day will the cat be left alone?
*
Here is a little more information on my situation and what I am looking for:
*
How did you hear about Kitty Bungalow?
Poster
Word of Mouth/Friend
Online
Other
The best time/day(s) for me to come and visit
*
weekend days
weekday days
weekday evenings
Additional schedule info: