Egyptian Mau Kitten Pre-Adoption Questionnaire:
Name (Last, First, Middle Initial):___________________________________________
Date of Application:_____________________________________________________
Present Address:_______________________________________________________
Street State Zip
Rent____Own____
How Long at present address:________________ (Months/Years)
Mailing Address (if different):______________________________________________________________
Daytime Phone:_________________
Evening Phone:_________________
Email Address:_________________
Landlord or Apt Complex Name:____________________________________________
Daytime Phone Number of landlord:_________________________________________
Please mark all the appropriate answers that apply AND provide any explanation as necessary:
I want this pet for: Breeder _ For Child _ Gift _ Family Pet _ Companion for Pet _
Do ALL members of household want a new pet? Yes _ No _
If no, please explain: ___________________
How many adults are in the household? __ Children? __ Children’s ages: __________
Are you over 18 years of age? Yes _ No _
Are you a student? Yes _ No _
Do any members of the household have allergies specific to animals? Yes _ No _
If yes, please explain: _____________________________________________________________________
Veterinarian’s Name:____________________________________________________
Veterinarian’s Address:__________________________________________________
Veterinarian’s Phone Number:_____________________________________________
May we phone your veterinarian for a reference? Yes _ No _
If not please explain:_____________________________________________________
Please list your current pets residing at your home (Include any other roommates pets as well): Breed/ Type/ Age/ Sex/ Altered/ Owned for # yrs: _______________________
_____________________________________________________________________
Have you owned any pets in the last five years not listed as current? Yes _ No _
If yes, please explain: _____________________________________________________________________
Can your veterinarian verify vaccination history on current or past pets? Yes _ No _ If no, please explain: _____________________________________________________________________
Have you relinquished any pets before? Yes _ No _ If yes, please explain including to whom, why and when: _____________________________________________________________________
_____________________________________________________________________
Where will your new pet be kept when you are home? _____________________________________________________________________
Where will your new pet be kept when you are NOT home? _____________________________________________________________________
If kept outdoors explain how your pet will be confined including:
Type of confinement ____________________
Total length of time_____________________
Type of shelter _________________________
Type of shade provided __________________
In a 24-hour day, how long would the pet be left alone at any given time?
4 hours _ 4-8 hours _ 8-12 hours _ 12 hours _
If purchasing a kitten have you any previous experience? Yes _ No _
If yes, please explain including the age of the kitten(s): _____________________________________________________________________
Will this kitten share a litter box? Yes _ No _
If yes, how many litter boxes will be provided? ________
Location of each litter box?__________________________________________________
How often is it scooped? ________ Changed? ________ Cleaned? ___________
Remember, you are applying for a lifetime companion: are you willing to make the investment in both time and finances (up to $2,000.00 annually) to care for and properly manage your new pet? Yes _ No _
How much time do you need to prepare for your new pet before taking it home? ________________
Would you be willing to allow a representative from Dragonway Egyptian Maus to make a home visit at a mutually agreed upon time?
Yes _ No _ If no please explain: _____________________________________________________________________
We hope you have thoughtfully considered each of the questions asked. Once again, the purchase of a life-long animal friend should not be impulsive, but rather a carefully made decision which will ensure a loving, lasting relationship. Thank you for taking the time to complete this application!