Friends for Life - Information Questionnaire

Friends for Life

Information Questionnaire

Friends for Life works very hard to make sure that the animals in our care find suitable, safe, healthy and loving homes. This questionnaire is designed to help us find the perfect pet for you. Thank you for answering our questions.

All our cats are tested, spayed/neutered, wormed, micro-chipped, and all vaccines up-to-date. We pride ourselves on having healthy cats and kittens. Since these animals come from situations we have no control over, we cannot guarantee the temperament or any unforeseen health problems that may arise with rescued animals.

Please note: Questions are geared towards cats/kittens. Occasionally FFL will have dogs/puppies available.

Contact Info:

Name:
Email Address (name@domain.com) :
Address:
City, State, Zip:
Home Phone (incl. area code): Work Phone (incl. area code):

Home Information:

Do you live in: House Apartment/CondoDuplex       How long have you lived there?
Do you rent or own your home? Own Rent       If you rent, have you paid a pet deposit: Yes No

# Adults in the home:       # Children in the home:
Children's ages:

Do you or anyone in your household or immediate family have allergies or asthma? Yes No Don't Know

Your Pets:

Do you currently have any pets? Yes No If yes, types & ages:

List other pets you have had in the past 5 years:

Are your pets:

Spayed/neutered? Yes No
Treated regularly for fleas? Yes No
Declawed? Yes No
Current on all vaccines? Yes No
Tested for Leukemia? Yes No
Dogs: Indoor Only Outdoor Only Indoor & Outdoor
Cats: Indoor Only Outdoor Only Indoor & Outdoor

Where do your pets sleep at night?
Your Veterinarian's Name: Vet. Hospital:

What are you looking for:

Preferences:

Male Female
Outdoor Indoor
Short Hair Medium Hair Long Hair
Declawed Not Declawed
Kitten Older Kitten Young Cat Older Cat

Are you looking for: Companion for you Companion for your pet For someone else
Other characteristics you are looking for (e.g., mellow, lap cat, vocal, affectionate, activity level, etc.):

Other comments:

Are there particular animals on the website that interest you?
If so, which animal(s)?

Miscellaneous:

Have you ever adopted from a Humane Society / Rescue Group before? Yes No
If so, how long ago? Name of organization:
Have you ever taken an animal to a shelter? Yes No
If yes, what were the circumstances?

Do you have any questions for us?

Thank you for taking the time to fill in our questionnaire. We look forward to helping you find the perfect addition to your family!

Please be patient while your form is submitted. Thanks!

Friends for Life Animal Outreach
P.O. Box 60082
Sacramento, CA 95860

Voice Mail (916) 551-3881
E-mail info@friends4life.org

FFLAO is a 501(c)(3) not-for-profit organization