Feline Behavioural History Form

Dr Hannah Donovan BSc (Hons) BVM&S MVetSci MSc MRCVS CCAB
RCVS Advanced Practitioner in Companion Animal Behaviour

Feline Behavioural Form

Client Details
Client Name*
First Last
Address*
Street Address Address Line 2 City County Post Code
Email*
Phone*
Please list the names, ages and occupations of each member of the household:
Name Age Gender Occupation Relationship with cat in question
Patient Details
Cat Name*
Breed*
Age (D.O.B)*
Gender*
Is the animal neutered?*
- Entire
- Neutered
Weight (kg)
Age obtained*
Date obtained*
Source (obtained from)*
Reason for obtaining*
Has he/she ever been used for breeding?*
How would you describe your cat's personality?*
Have you owned cats previously?*
Have you owned other pets previously?*
Please list any current household pets
Name Type/Breed Age Gender (neuter status) Relationship with cat in question
With which insurance company is your pet insured? Leave blank if your pet is not insured.
Medical History
Please give a brief description of your cat's medical history*
Which vet practice is your cat registered with?*
Vaccination status*
Date of last worming:*
Is your cat on any regular medication?*
Has your cat ever been on medication for his/her behaviour? If so, please describe the drug, dose and date(s)
Early History
Please describe, if known, what your cat's early environment was like, including; litter size, early experiences, dam and sire personalities, if reared indoors/outdoors, early interactions with people, etc.
Did your cat attend any socialisation classes as a kitten? If so, please describe:
How well do you think your cat learns?
What is your cat fed? How much, how often and where?*
If you have more than one cat, please describe where and when they are fed and how they appear to eat if the other cat(s) are nearby*
Please sketch a floorplan of your home to aid description and then upload here.
Accepted file types: jpg, png, gif, pdf, bmp, docx, Max. file size: 64 MB.
Where does your cat sleep/spend time resting?*
If you provide litter trays, please describe how many and where they are located*
Does your cat use the litter tray(s)?*
Does your cat have access to outdoors? Please describe*
What is your cat’s daily routine (including; sleeping, resting, playing, eating, exercising, home alone, etc)*
What is your cat's usual reaction to visitors, strangers outside and other animals?*
What are your cat’s favourite things/things to do?*
Have there been any changes in the home or your cat’s environment/routine recently?*
What is the current problem?*
When was the first incident? Please describe it in detail*
How old was your cat at the first incident?*
How often does it occur/how long has it been occurring?*
Please describe two more occasions and what you think may have been happening at the time*
What do you think the triggers are for these behavioural issues? Why do you think your cat displays this behaviour?*
Have there been previous attempts to rectify the situation? If so, what methods have been used?
Has any form of punishment been used?*
Does your cat display any other unwanted behaviours?*
How does your cat’s behaviour make you feel?*
What outcome would you ideally achieve from a referral behavioural consultation?*
Realistically, how many hours do you feel you spend directly with your cat per week, for example, during play, training, exercising, relaxing together, quality time together?*
Has euthanasia been considered for your cat?*
Do you give permission for Donovan Veterinary Behaviour Practice to use suitable photos and videos of your animal in our printed and online publicity, and possibly to be used as examples in case studies for educational purposes?
- Permission given
Do you agree to the Terms and Conditions?*
- I have read and agree to the Terms and Conditions
Before clicking Submit, please review the form and make sure all the required (*) fields are completed. If successful, on clicking Submit, a confirmation message is displayed.

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The Behavioural Consultation will be conducted virtually (unless otherwise agreed) and you will then receive a treatment plan and follow-up consultations and support.

Email: info@donovanvetbehaviour.com