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Feline Behavior Questionnaire

Name

Age Required/ Where

Other pets in the home

List any life events or recent lifestyle changes that may be relevant to problematic behaviors

List each behavior problem or complaint separately.

For each behavior problem listed: (1) What is the trigger (2) When does it occur and (3) How long has it been going on for

List any medications and/or supplements you have tried

List any behavioral interventions you have attempted and response

For litter box issues: Details about all litterboxes in the home (location, litter type, box type, box size, hygiene practices)

Relationship with other cats in home

General temperament of cat