COMMUNITY SERVICES | Irvine Animal Care Center

CAT ADOPTER SURVEY

Thank you for your interest in adopting a new family member from our shelter. In an effort to help you find your match please provide the following information. Adopters must be 18 years or older.

First Name

Last Name

Street Address

City

State

Zip

Preferred Phone

How many adults live in your household?

How many children live in your household?

Seniors may qualify for special pricing. Are you 62 years of age or older?

Yes

Enter the cat name(s) as listed on the adopt webpage:

First Choice

Second Choice

Third Choice

TELL US ABOUT YOU

I would consider my household to be like:

A library

Middle of the road

A carnival

I am comfortable with cats that like to play "chase my ankles" and similar games:

Somewhat

All of the time

I want my cat to interact with guests that come to my house:

Little of the time

Some of the time

All of the time

How do you feel about a boisterous cat who gets into everything?

Love them; but rather not live with them

Depends

Fine by me

My cat needs to be able to adjust to new situations quickly:

Not important

Somewhat

Yes

I want my cat to love being with children in my home:

Not important

Some of the time

Most of the time

Children do not often come to my house

My cat needs to be able to be alone:

More than 9 hours per day

4-8 hours per day

Less than 4 hours per day

When I am at home, I want my cat to be by my side or in my lap:

Little of the time

Some of the time

All of the time

I want my cat to enjoy being held:

Little of the time

Some of the time

Most of the time

I have lived with cats before:

Yes

Currently

List names, ages, genders and breeds:

I need my cat to get along with (check all that apply):

Dogs

Cats

Birds

Other

Please list other animal names and species:

My cat will be:

Inside

Inside/outside

Outside

I want my cat to play with toys:

Often

Sometimes

Infrequently

I want my cat to be active:

Yes, very

Sometimes

Not at all

If your cat scratched the furniture, would you:

Live with it

Find appropriate alternatives

Declaw

I would give up this cat if:

It is most important for me that my cat:

Thank you for your honest answers. The information you provide will help us find a pet that is suitable for you.

Meet your Match courtesy of ASPCA.

The City of Irvine takes your privacy seriously. This form asks you to provide the City with certain personal information. Such information is being requested and will be utilized by the City for the specific and limited purpose of future City correspondence regarding the subject-matter of this form. Pursuant to Measure S, an initiative ordinance passed by City voters in 2008, all information provided on this form will be kept confidential. Unless you expressly indicate to us otherwise or unless compelled by a court order, it will not be shared with other agencies, businesses or individuals.