ADOPTION QUESTIONNAIRE
Full Name
Street Address City Prov/State --------- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA VI WA WV WI WY AB BC MB NB NF NT NS NS ON PE PQ SK YT NU OT
Country --------- UNITED STATES CANADA OTHER IF OTHER
PC/ZIP Phone # Cell #
E-mail
Where you live, Do you? ----------- Rent Own Board Live With Parents Live With Roommate Are Pets Permitted --------- YES NO
May I confirm this with your landlord and or see your lease or condo rules? --------- YES NO N/A
How did you find us? Please be specific about referrals from other web sites and state search engine if using the internet.
What type of Bengal are you interested in Brown Spotted Tabby Brown Marble Seal Lynx Spotted Snow Seal Mink Spotted Snow Seal Lynx Marble Seal Mink Marble Unknown Gender Preferred Male Female Either
Quality Pet Breeder Breeder/Show Show Retired Adult Cat Specific kitten you are interested in
If your choice of Bengal is UNAVAILABLE, would you like to be put on our waiting list? --------- YES NO
Tell me a little about what your household is like.
Number of Adults Number of Children Ages of Children
Number of Cats Number of Dogs Other Pets
Have you ever owned a Bengal before? --------- YES NO
If NO, have you researched the Bengal breed and their characteristics? --------- YES NO
Why have you chosen a Bengal for your pet?
Have you lived with cats before? --------- YES NO Where are they now?
If deceased, age when they passed away.
If deceased, what was the diagnosis?
How do you feel about de-clawing your cat or kitten?
If you are buying a pet quality bengal, will you spay or neuter your pet? --------- YES NO
Will your Bengal be free to roam the house? --------- YES NO
Were your previous cats allowed outside unsupervised? --------- YES NO
Will your next cat be allowed outside unsupervised? --------- YES NO
How do you feel about having 2 cats ?
What cat behavior would you consider unacceptable?
Would you be willing to take a cat with behavioral problems to a vet? --------- YES NO
About how much do you anticipate it will cost to keep a cat for one month?
May we contact your vet for a reference? --------- YES NO
Name of Vet and Phone Number that your new cat will be seeing.
What arrangements will you make for your cat when you are away for long periods of time?
Tell me something about pets you have had or lived with in the past.
Overall what is your philosophy about your pets?
Thank you for submitting your Adoption Questionnaire,
We will Contact You Soon Through E-mail.
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