Foster Volunteer Name* First Last Phone*Email* Foster Animal Name(s)* For which CHS location are you fostering?* Newington, 701 Russell Road Waterford, 169 Old Colchester Road (Quaker Hill) Westport, 455 Post Road East This questionnaire is used to help CHS find the best possible home for your foster pet and prepare the new family with information about his/her history. Please complete it as completely and accurately as possible.Household Information and Social BehaviorWhen you first brought your foster cat home, how did he/she react? Friendly/outgoing Shy Liked to hide After adjusting to your home, how was your foster cat? Friendly/outgoing Shy Liked to hide Including yourself, please record all individuals by first name only who lived with this cat, their age range, gender and any additional notes you wish to add.Did your foster cat interact with any pets in the home? (Check all that apply) Dogs Cats Small Animals Birds Reptiles If your foster cat interacted with dogs, please note breed, age and sex of dog. How did your foster cat typically behave towards men he/she knows? (Check all that apply) Unknown Friendly Fearful Growls Bites How did your foster cat typically behave towards women he/she knows? (Check all that apply) Unknown Friendly Fearful Growls Bites How did your foster cat typically behave towards children he/she knows? (Check all that apply) Unknown Friendly Fearful Growls Bites How did your foster cat typically behave towards men he/she does not know? (Check all that apply) Unknown Friendly Fearful Growls Bites How did your foster cat typically behave towards women he/she does not know? (Check all that apply) Unknown Friendly Fearful Growls Bites How did your foster cat typically behave towards children he/she does not know? (Check all that apply) Unknown Friendly Fearful Growls Bites How did your foster cat typically behave towards dogs he/she knows? (Check all that apply) Unknown Friendly Fearful Growls Bites How did your foster cat typically behave towards cats he/she knows? (Check all that apply) Unknown Friendly Fearful Growls Bites How would you describe your foster cat's personality? (Check all that apply) Playful Vocal Friendly Affectionate Outgoing More like a dog Hyper Fearless Lap cat Independent Shy Fearful Quiet Aloof Aggressive How does your foster cat typically respond when an unfamiliar person approaches or enters the house? (Check all that apply) Friendly Affectionate Indifferent Scared Hides How active is this cat? Very active Somewhat active Inactive How vocal is this cat? Very vocal Somewhat vocal Non-vocal Where does this cat like to be pet? (Check all that apply) Head Back Rump Tail Feet Ears Other If other, please describe. Does this cat like to be picked up? Answer "Yes" or "No" and describe preference in a few words.What best describes your home? Empty - I am rarely home Quiet - someone is always home Average - I am home and away 50/50 Busy - people are always coming and going Routine and HabitsDoes your foster cat use a litter box? Yes No If no, please explain.Does your foster cat have accidents in the house? Yes, urinates Yes, defecates No If the cat has accidents, how often? Daily Weekly Once in a while When did this behavior first occur? What has been done so far to correct the problem?Does your foster cat like to play? (Check all that apply) No interest in play Will chase bugs Will fetch Plays rough, may scratch/bite Plays with toys Plays gently Plays in water Likes laser pointers and wand toys Was your foster cat allowed on furniture? Yes No Was your foster cat allowed on countertops? Yes No Was your foster cat destructive? (Check all that apply) No Chews wires Scratches furniture Scratches carpets Chews/eats plants What have you done to deter this behavior and was it successful?Does your foster cat have any bad habits or unique behaviors a future adopter should know about?BehaviorHas your foster cat ever bitten anyone? Yes No Date of the bite. MM slash DD slash YYYY Please describe: If yes, did this bite break skin? Yes No Details: Has your foster cat ever attacked another animal? Yes No Details: Adoption Memo: Please write a few sentences about your foster cat for use in their adoption write-up.
