Cat Personality Profile Cat Personality Profile Form Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Cats Name* Age (Months)* Age (Years)* Sex* Female Male Spayed Femle Neutered Male Why are you surrendering this pet?*Where did you get this cat?* This Shelter Friend/Relative Found/Stray Breeder Pet store Internet Offspring of Another Pe How long have you had this cat?* Including yourself, how many people of the following ages has the cat lived with?:Age 0-3 (Female)* Age 0-3 (Male)* Age 4-9 (Female)* Age 4-9 (Male)* Age 10-17 (Female)* Age 10-17 (Male)* Age 18-29 (Female)* Age 18-29 (Male)* Age 30-59 (Female)* Age 30-59 (Male)* Age 60+ (Male)* Age 60+ (Female)* What other animals did your cat live with? (If applicable, please specify how many):No other animals in household No other animals in household Large Dog(s) Large Dog(s) Number Medium Dog(s) Medium Dog(s) Number Small Dog(s) Small Dog(s) Number Cats Cats Number Other Other Type & Number Did the cat co-exist well with other household animals?* Yes No If the answer is no, please explain:Which other animals do you feel your cat can be rehomed/live comfortably with?* Large Dogs Small Dogs Cats Small Animals No other animals How does your cat generally behave toward the following (Check all that apply):Large Dogs:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected Small Dogs:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected Other Cats:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected Unknown Men:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected Unknown Women:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected Children 6-12 years old:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected Babies 0–6 years:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected Small animals:* Never encountered Friendly Relaxed/ Affectionate Hides/ Fearful Hisses/ Growls/Swats None of these Other Describe Other If Selected What would you say your cats's energy level is from 1-10? 10 being very active:*12345678910What would describe your cat's personality? (Check all that apply):* Affectionate Independent Social/Outgoing Shy Lap Cat Playful Mellow Hides a lot “Night Owl” Talkative Demands attention Hunter Other Describe Other If Selected Where does your cat spend most of his/her time?*Inside the homeIndoor/OutdoorOutdoorsIf outdoors was answered, how often does he/she go outside?* Is your cat harness trained?:* Is he/she used to wearing a collar?* Where does this cat sleep at night?* How does this cat feel about being brushed?* What toys does the cat enjoy?* Feather Wand Jingle Toys Balls Fuzzy Mice Laser Pointer Plush toys Milk Caps Plastic toys Feather Toys Spring toys Cat Nip Cat Grass Other Describe Other If Selected What “hobbies” does your cat enjoy?* Window watching the birds Lap sitting Basking in the sun Playing with toys Playing with other cats Playing with dogs “Helping” you clean/work Going for walks Eating Being a “Catnip Connoisseur” How does your cat enjoy the following scratching post options?* Vertical Horizontal 45° Angle Cardboard Twine wrapped Carpeted Free Standing Attached to Cat Tree Attached to furniture piece What type of litterbox is the cat used to?* Covered Uncovered Large Medium Small High Sides Low Sides Other Describe Other If Selected What type of cat litter is the cat used to?* Clay Clumping Clay Non-clumping Pellets Wheat/Pine Alternative Scented Unscented What brand of litter is the cat used to?* How often is the litterbox scooped?* Emptied and cleaned?* Has the cat ever urinated/defected outside of the litterbox?*YesNotIf yes was answered above, when did this occur and how was it resolved?:Has the cat ever bitten anyone?*YesNotIf so, did the bite break skin and/or require medical treatment?* What was the age of the person bitten and what were the circumstances?*What type of food is the cat used to?* Dry Kibble Canned Food Other Describe Other If Selected* What is the cat's feeding schedule?* What brand and flavor is the cat used to?* Medical HistoryWho is your cat's regular Veterinarian? (If not a local Vet, please provide clinic name, city, state, and if able, a phone number)* Check if your cat has ever shown any of the following negative behaviors when handled by a Veterinarian or groomerFull Body Examination* Never Had Done Hisses and/ or growls Bites None of these Administer Shots* Never Had Done Hisses and/ or growls Bites None of these Trim Nails* Never Had Done Hisses and/ or growls Bites None of these Blood Draw* Never Had Done Hisses and/ or growls Bites None of these Teeth Checked* Never Had Done Hisses and/ or growls Bites None of these Ears Checked* Never Had Done Hisses and/ or growls Bites None of these Is your cat currently on any medications? Please list medications and what they are for*Last time your cat was to the Vet and reason for visit:*BraggingTime!! Please share what you love most about your cat and what others would love too!*Upload any veterinary recordsMax. file size: 1 GB. When you surrender to UPAWS, you lose all rights to your unwanted pet. You will not be able to visit or have any decision-making power in the pet’s future care and arrangements. The Owner Surrender Application severs all ties between you and your unwanted pet. UPAWS does not house or re-home animals that are deemed vicious or dangerous to the public. Consent* I have read and agree with the above UPAWS terms
