Fundamentally Feline

Behavior Questionnaire

STOP! Please read before completing. Questionnaires submitted between May 5th, 2023 through July 1st, 2023 *may* be evaluated and scheduled but be aware that I will be limited in my ability to fulfill my one month of follow-up support during this time. If you choose to submit your questionnaire anyway, please know that follow-up support will be honored/extended but will resume after July 1st. If you feel as though your situation requires more urgent attention you may visit IAABC.org to search for a behavior consultant in your area or who can service your needs more quickly.

Behavior Questionnaire

For pricing and consult details, visit the Behavior Consulting page. This form is long but necessary to provide the best consultative experience possible, so please set aside the appropriate time to complete this form in one sitting.

***Please Note: Due to an overwhelming response to this service, it may be 3-4 weeks before your consultation.***

Owner Information

Address
Address
City
State/Province
Zip/Postal

Pet Information

If completing this form for multiple cats, please choose cat of greatest concern for the section below. You will have the opportunity to provide details about additional cats as you proceed through the form.
Sex *
Neutered/Spayed *
Is your cat declawed? *
Which paws? *
(i.e. infection)
Does your cat go outdoors? *
(free to roam all day, leash, cat door, balcony/deck, only when I'm outside, etc.)
Do any of your other cats have access to the outdoors? *
(i.e. food out all the time, meals, timed feeder, via food puzzles, etc.)
What type of food do you feed? *

General Information

Clinic Address
Clinic Address
City
State/Province
Zip/Postal
May we contact them for your records?* *
*Granting permission to acquire records is helpful but it would be best if you simply contacted your vet and asked them to email specifically doctor's notes and lab results to [email protected]. This will expedite the process as most vets will reach out to the pet parent for permission to release the records if I call to request them.

Cat's Background

(i.e. SPCA, Humane Society, Pet Store, Breeder, Friend, Stray, Gift, etc.)
Has your cat had other owners? *

Behavior Problem

(i.e. moving, birth of a child, houseguests, construction, parties, etc.)

Elimination Behavior

How often does your cat use the litter box?
(dirty laundry, bed, sofa, hardwood floor, etc.)
(size of fecal balls, amount, firm, soft, formed, runny, etc.)
Do you have traditional litter pans?
Do you have commercial litter boxes with removable “lip”?
Do you have covered boxes, “cave”-type front door?
Do you have covered boxes, “Booda” type (cat crawls into hole)?
Do you have automatic litter boxes (i.e. Littermaid, Litter-Robot)?
Do you use the Tidy Cats Breeze System?
Do you have any other types of litter boxes?
(If they have a scent, please describe the scent (i.e. lemon, citrus, vanilla, etc.)
Do you change litter brands often?
What type of litter? Please check all that apply.
You said you use a non-scoopable litter, do you scoop out urine or mix it in with the remaining litter?
(i.e. baking soda)
Please describe the type of matt you have

Home Environment

(i.e. friendly, hostile or fearful)
Have you moved since acquiring your cat?
Do you have any areas if your home that are off limits to the cat(s)?

Social Behavior

Does your cat bite you?
Does your cat scratch you?
Does your cat vocalize?

Play Behavior

Does your cat have a favorite scratching post or scratching area?
Include height, substrate and location
Do you have cat trees?

Sexual Behavior

Grooming Behavior

Does your cat have bald patches?
Does your cat’s skin ripple or twitch?
(i.e. coat is well maintained without you having to brush or bathe them)

Daily Routine

(i.e. parties or construction)
(i.e. jumping on the bed, climbing the stairs, tend to stay in one location/one floor, etc.)
Has your cat been on medications in the past?

If this problem continues, I will:

If this problem continues, I will

Home Video

Please submit a brief video of your home utilizing the upload feature below or you may email it directly to [email protected]. You may also use Google Drive, Dropbox or similar, whatever format is easiest for you.

Please be sure to include the following: location of litter boxes, food, water, cat trees, scratching posts, points of conflict and locations where elimination outside the box has occurred if applicable. This video does not need to be hi-tech. The purpose is to assess the environmental resources currently provided so suggestions can be made to help improve upon what is being offered.

Maximum upload size: 516MB

Legal Stuff

By submitting this questionnaire, I understand that the behavioral recommendations given by Fundamentally Feline are in no way a substitute for veterinary care.

I understand that the success of a behavior modification plan depends upon my compliance with the instructions given and that not all behavior problems can be solved, especially long-term ones, and in some cases, only an improvement in the behavior may be the best outcome.

I release Fundamentally Feline from any and all liability in regard to health and behavior of my pets, the safety of all people in the household who interact with the cat, damage or loss to my property and in regard to any aspect of the advice given.

I understand that payment is due in full at the time of service.

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