adoptform Adoption Questionnaire Are you interested in adopting a kitten? Please fill out the form below. We will contact you within five days of receipt of your completed questionnaire. About You Name: First and Last Address City state AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Email Address: Phone Number: How many people live in your household? Do you have children in the home? yesno If yes, how many and what are their ages (This is to help us identify the very best kittens for your family)? Does anyone in your home smoke? yesyes but only outsideno About Your Home Tell us about your housing situation. house-we own ithouse-rentApartment/Condo - OwnApartment/Condo - Rent How long have you lived at your current address? Do you have plans to move? yesno Do you have any of the following? Check all that apply. BackyardPatioPet DoorUnscreened WindowsUnscreened Doors Kitten Preferences, Care and other Pets Will this be your first pet? yesno Do you currently have other pets? DogsCatsBirdsOther Have you ever given a pet back to the breeder or surrendered it to a shelter? Why are you considering adopting a Siberian? Does anyone in your home suffer from cat allergies? yesno How severe are your allergies? MildModerate but tolerableSevere Are you interested in scheduling an allergy visit? Are you considering having your cat declawed? YesNoMaybe Are you interested in a male or female kitten? MaleFemaleNo Preference Disposition Preference: How many hours a day will your cat be alone? I work from home< 4 hrs per day< 10 hrs per day> 10 hrs per day Does your job require out of town travel? Do you have a color or pattern preference? Are you planning on keeping your cat indoors? YesNoYes, but with access to a secure catio Who will be responsible for the care of your kitten? Are you interested in a retired King or Queen? yes