Primary handler's name
*
The person most responsible for the training
First Name
Last Name
Primary handler's cell phone number
*
(###)
###
####
What's the latest hour that you are okay with receiving text messages?
*
Primary handler's email addresses
*
Secondary handler's name
Another person who needs to be in the loop
First Name
Last Name
Secondary handler's cell phone number
Will be included in group texts between the trainer and primary handler
(###)
###
####
Do you want the secondary handler to be included in all emails and text correspondence?
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Names and ages of all children who live with your cat
*
How did you hear about Shake On It Pet Behavior Consulting?
*
What package do you want to sign up for?
*
Cat's name
*
Breed or breed mix
*
Cat's age
*
Cat's weight
*
Gender
*
Spayed/Neutered?
*
Describe in detail the behavioral issues you are seeking help for.
*
Who, what , where, when, how often, etc.
What have you done to try and solve the issues yourself?
*
How long has your cat had these behavioral issues?
*
Has your cat bitten or severely scratched any of your other pets? Please explain and describe in detail.
*
Has your cat bitten or severely scratched a human? Please explain and describe in detail.
*
How long have you had this cat?
*
Where did you get your cat? If you acquired your cat through a shelter or other circumstance please provide any history or information you received about your cat.
*
If you got your cat from a breeder please provide their contact info/website if available.
What other pets are living in your home?
*
If there are conflicts between your pets you must fill out a form for each pet.
Please check what type of home you live in.
*
What do you feed your cat?
*
Dry kibble, wet food, home cooked, raw...
What type of physical exercise does your cat receive?
*
What type of mental enrichment does your cat recieve ?
*
My cat enjoys ..
*
How many litter boxes do you have?
*
My cat is motivated by
What does your cat love!
How many cat trees or towers do you have?
*
Where are your cat trees located in your home?
*
How many vertical scratching surfaces does your cat have?
*
Vertical scratching surfaces that allow your cat to fully stretch out their body and arms without the scratcher tipping or wobbling.
How many horizontal scratching surfaces does your cat have?
*
Horizontal scratching surfaces that allow your cat to fully stretch out their body and legs.
Is your cat scratching any carpet or furniture that is not a cat tree/tower or appropriate cat scratchers?
*
Regarding your cat going outside
*
Name of the veterinarian you use.
*
Underlying health issues are often the cause of many behavioral issues, have you discussed your cat's behavior with your vet?
*
Is there anything your cat used to do that they do not do anymore or do not do as much?
*
Examples: Hesitating or refusing to jump up on things, hesitating or refusing to walk on slippery floors, Hesitating or refusing to play, pooping or peeing in a different posture, posture or gain seems different, sleeping in a different position, spending a lot of time in a kitty loaf position (tail and limbs tucked in while laying down)?
Does your cat currently have any coughing, sneezing, nasal discharge, or eye discharge?
*
Is your cat currently eating and drinking normally?
*
Does your cat currently have any vomiting or diarrhea?
*
List all medications and supplements your cat is taking.
*
List all allergies your cat has.
*
Is there anything else you would like to add?
