LITTER TRAY QUESTIONNAIRE

Many cat behavioral problems stem from a litter tray problem. This questionnaire was to designed to help determine if a litter tray problem exists.

Please complete this questionnaire to help us best understand your pet's health needs.


Client Details

HISTORY

Please select the behaviors that your cat is displaying.



How often does this problem occur?



When did the problem start?





Did the problem coincide with any of the following changes?









CAT'S BEHAVIOR

Please select the relevant behaviors.













CAT'S PREFERENCES

Does your cat urinate inappropriately in secret?



What types of litter trays do you have?







What types of litter do you use?








ENVIRONMENT

How many cats in the household?






How many litter trays in the household?






OVERALL HEALTH

By submitting this form, I acknowledge that I am the owner or agent representing the pet named above and that the information here is true and correct.