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Clinic clients who sign up for a wellness plan receive 5-10% off resort and grooming services. learn more

Home » New Cat General Questionnaire

New Cat General Questionnaire

All male cats over 5 months of age must be neutered to participate in daycare or boarding. Intact cats under the indicated age will be able to play with other kittens and board without restrictions.

Client Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cat's Name(Required)

Breed/Mix(Required)

Sex(Required)

Age(Required)

Date of Birth(Required)

MM slash DD slash YYYY

General Cat Information

How long have you owned your cat?(Required)

Is your cat spayed or neutered?(Required)

Yes

No

If yes, when were they fixed?(Required)

If no, when was their last heat (female only)(Required)

Are there any medical conditions/injuries/physical limitations we should be aware of?(Required)

Yes

No

If yes, please describe(Required)

Has your cat been diagnosed with FIP or FeLV?(Required)

Yes

No

Does your cat have any allergies?(Required)

Yes

No

If yes, to what are they allergic to?(Required)

May we give your cat treats?(Required)

Yes

No

May we give your cat catnip?(Required)

Yes

No

Does your cat suffer from any separation anxieties?(Required)

Yes

No

If yes, would this affect your pet while boarding or being in a kennel?(Required)

Yes

No

If yes, please describe(Required)

Does your cat ever suffer from periodic constipation?(Required)

Yes

No

If yes, please describe the circumstances(Required)

Has your cat received a diagnosis for it?(Required)

Yes

No

If yes please describe(Required)

Has your cat ever chewed on or ingested string, hair ties, toys or other type of non-food item while unsupervised?(Required)

Yes

No

If yes, please describe the circumstances(Required)

Does your cat display any type of aggression? (hissing, growling, swatting, scratching, biting )?(Required)

Yes

No

If yes, please describe the circumstances(Required)

Has your cat ever shown aggression towards someone?(Required)

Yes

No

If yes, please describe the situation(s)?(Required)

How would you describe your cat's energy level?(Required)

Low

Medium

High

Has your cat ever bitten a person?(Required)

Yes

No

Has your cat ever bitten another cat?(Required)

Yes

No

Has your cat ever caught a small animal, such as a squirrel, rabbit or mouse?(Required)

Yes

No

How would you describe your cat's level of socialization with other cats?(Required)

None

Moderate

Extensive

Has your cat ever shown aggression toward another cat?(Required)

Yes

No

Not sure

Is there anything else you would like us to know about your cat?(Required)

Would you like more information about any of the other services offered at BloomingPaws?

Nutrition

Grooming

Boarding

Daycare

Veterinary Clinic

Client Signature(Required)

Δ

BloomingPaws Veterinary Clinic, Resort, and Spa

BloomingPaws is a premier, full-service pet care facility in Bloomington, IN. Since 1993 we have aimed to provide outstanding service for our clients and their pets by treating them all with love, compassion, and respect.

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address

3409 S Walnut St
Bloomington, IN 47401

contact

Vet Services

812-333-2273 (select option 2)
clinic-cust-service@bloomingpaws.net

Resort & Spa Services

812-330-7297 (select option 1)
customerservice@bloomingpaws.net

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