Owner Details

Name *

Email *

Phone *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Have you owned a cat before?

Yes
No

Have you owned this breed of cat before?

Yes
No

Have you owned other pets previously?

Yes
No

Please list other current household pets:

Type and Breed

Name and Age

Neutered or Entire

Relationship with other pets (e.g. plays, avoids, fights)

Please list the names, ages and occupations of other family members who live at home:

Name

Age

Occupation

Patient Details

Name *

Breed *

Age/Date of Birth *

Weight (kg) *

Sex *

Male
Neutered Male
Female
Speyed Female

Date first obtained

Where obtained

Age when obtained

Reason for obtaining this cat

Has the cat ever been used for breeding?

Yes
No

How would you describe your cat's personality?

The Current Problem

What is the current problem you are having with your cat?

When did it begin?

How long has it been present?

How old was the cat when it began?

Where does the problem occur?

With whom?

How often?

What has been tried to correct or change the problem?

Is the problem getting...

Better
Worse
No change

Do you suspect any cause?

Describe the three most recent incidents of the behaviour:

Elimination and marking problems (house soiling)

Please answer the questions below if the problem is elimination or marking.

Elimination Behaviour

Does the cat use a litter tray/box?

Yes
No

Does the cat use the litterbox for

Urine only
Faeces only
Both
Neither

Does the cat bury its urine?

Yes
No

Is there much digging and scratching in and around the litter tray/box?

Yes
No

Does your cat ever eliminate outside the litter tray inside the house?

Yes
No

Litter Tray / Boxes

How many litter trays are there?

What type (e.g. covered, uncovered)?

What shape and size?

Where is/are they located?

What type of litter material do you use?

Do you always use the same brand?

Yes
No

Are odour control granules added?

Yes
No

How often is the tray cleared of waste material?

How often is it completely cleared out and washed?

Have you recently changed the litter material or used cleaning solution?

Yes
No

Problem Details

Is the cat leaving faeces, urine, or both outside the litter tray?

Yes
No

How often does this occur?

Once a week
Once a month
Once a day
Always

What time of day do you usually find the urine or faeces outside the tray? (e.g. AM, PM, before work, overnight, etc.)

Where is the cat depositing urine/faeces outside the tray? Please list the room/rooms and all the locations in the room/rooms. Also specify if the deposits are found near windows, doors, plants, furniture, etc. How many spots/deposits are there in a given room?

Room

Locations

Number of spots/deposits

Please upload a drawing of a floor plan of the house, noting the litter tray locations and sites of urination and/or defecation outside of the tray. Please also include resting places in cases of conflict between cats and indicate any specific locations of such conflict.

Drag & Drop Files, Choose Files to Upload

Has there been a change in litter tray location?

Yes
No

Has there been a change in litter type?

Yes
No

Has there been a change in your litter tray cleaning routine?

Yes
No

Is the box cleaned less or more often?

Less often
More often

When the problem first began, can you recall any unusual incident or anything that might have upset the cat? (For example, moving house, new flatmates, unusual noises, new work hours, addition of another pet, a new baby, food changes)

Have there been any recent changes in your personal routine?

Have there been any recent changes in living arrangements?

Have you ever caught the cat depositing urine or faeces outside the litter tray?

Yes
No

What posture does the cat assume when urinating or spraying outside the box?

Standing
Squatting

Where is the urine located?

On the floor
On the walls about 15–20 cm up from the floor

Aggression

Please answer the questions below if the problem is aggression.

the Age history,

Describe the most recent incident and the setting it occurred in (please try to be very precise, as if you were drawing a picture).

Where was the cat?

Where was everyone in relation to the cat?

What was everyone doing before the incident?

What did the cat do?

What was the cat's body posture? Describe the position of ears, tail, face, hair on back, or draw a picture if necessary.

Please upload a picture or drawing here, if available.

Drag & Drop Files, Choose Files to Upload

What was your reaction to the behaviour?

How did the cat react to your reaction?

Was there any punishment?

If there was a bite wound, was it a puncture wound or a tear?

Going back in time, describe the three most recent incidents of the behaviour.

How frequently does the problem occur?

Times per day

Times per week

Times per month

Times per year

When do the problems occur?

When left alone?

Always
Usually
Rarely
Never

When family members are present?

Always
Usually
Rarely
Never

Medical History

Please give a brief medical history, especially recurrent problems (such as furballs and fight injuries) and treatment.

Vaccination status

Date last wormed

Is your cat currently on any regular medications such as allergy medication, herbal or homeopathic remedies?

Drug/Remedy

Dose

Has your cat been on medication for his/her behaviour in the past? If Yes, please list name and dosage of medications, including herbals and homeopathics.

Drug/Remedy

Dose

Is your cat on any medication for his/her behaviour now? If Yes, please list name and dosage of medications, including herbals and homeopathics.

Drug/Remedy

Dose

Early History

Please give details of your cat’s early life, if known, including litter size, age of weaning, age when obtained, whether raised outside or indoors, of orphan or stray, whether hand-reared, etc.

How much interaction did the kitten have with people in the first year of its life?

What method of house training was used?

How did you react to any mistakes during house training?

Did your kitten attend kitten 'parties' or classes? If so, please give details.

Daily Activities

Diet and Feeding

What types of food (including brands) do you give your cat?

How much does he/she eat a day? Please state actual weight if known.

When and where is the cat fed?

Who feeds the cat?

Is his/her appetite good or poor?

Good
Poor

Does your cat eat quickly or slowly?

Quickly
Slowly

What are his/her favourite foods?

How much water does your cat drink each day?

How much milk does your cat drink each day?

Do you add supplements or tidbits to your cat's diet?

Yes
No

Sleeping and Waking

Where does your cat sleep at night?

Where does your cat sleep during the day?

Is your cat active at night?

Yes
No

When does he/she get up in the morning?

Does your cat tend to seek out high places to rest?

Yes
No

Where can the cat normally be found during the day?

Going Outside

Does your cat have access to a garden or yard?

Yes
No

Is access controlled or free through a cat door?

How often would you see other cats in your garden?

Daily
Several times per week
Weekly
Rarely

How much time is spent outdoors by your cat each day?

In the summer:

In the winter:

Is your cat keen to explore when on his/her own?

Toileting

Does your cat ever eliminate outside the litter box inside the house?

Yes
No

Roaming

What area is available to the cat to roam?

How far does it roam on average?

Stays in garden
May go next door or two
Further ranging

Does your cat stay away from home for several days at a time?

Yes
No

Territory

Does the cat defend territory against other cats?

Yes
No

Hunting

Does your cat catch prey and bring it into the house?

No
Occasionally
Regularly

Play

Is your cat playful?

Yes
No

Is there any specific time devoted to play and/or training on a daily basis?

Yes
No

Who initiates play: people or the cat?

Does your cat come when called or do any tricks?

Yes
No

Home Alone

Typically, how long is your cat alone without people on any given day?

What arrangements are made for the cat if you are away from home such as on holiday?

Family Routine

Has there been a change in your household routine such as new work hours, new baby, moving, new household members, visitors, boarding, or diet change?

Yes
No

Interaction With Family Members

The Home Environment

What type of home do you have (e.g. flat, apartment, house)?

How would you describe your home?

Quiet
Lively
Chaotic

What areas of the house does your cat have access to?

Please provide a drawing of the layout of your home indicating the cat’s key areas (e.g. feeding, litter, favourite rest areas). Please also indicate any windows through which the cat can see the outside.

Drag & Drop Files, Choose Files to Upload

Is your cat keen to explore?

Yes
No

Interaction With Others

Reaction to Visitors

How does your pet behave when visitors come to the house? (e.g. hides, acts interested, interacts with them)?

Is the behaviour different towards familiar and unfamiliar people?

Is your cat quick to approach new people?

Has your cat ever bitten or attacked anyone?

Please fill in details of any visitors to the home.

Individual (e.g. friend, tradesperson, postie)

Purpose

Time and days (e.g. frequent, occasional, rare visitors)

Cat's reaction

What is the cat’s response to other visitors?

Frequent visitors

Occasional visitors

Is your cat aggressive when denied something it wants?

Yes
No

Does your cat ever show inappropriate mounting or other sexual activity?

Yes
No

Does your cat tolerate (T), enjoy (E), or resist (R)...

Handling

T
E
R

Grooming

T
E
R

Does your cat lick or chew on itself more than you would expect?

Yes
No

How do you correct your cat when he/she misbehaves?

Feline Behaviour Consultation Questionnaire