Adopt a Cat

Name: CLOSED for July 4
Start: 2021-07-05T00:00:00-04:00
End: 2021-07-05T23:59:59-04:00
Location: SAFE Haven for Cats

Adoption Interest Survey

Adopt a Cat

Adoption Interest Survey

Complete this Interest Survey if you would like to adopt a cat.

Thank you so much for your willingness to open your home to a rescued cat or kitten from SAFE Haven for Cats!

After your Adoption Interest Survey is submitted, you may also get a call from one of our adoption counselors to discuss your thoughts about your new (cat) family member.

Note that fields marked with a * are required.
Your Information:
Your Name*
First Last
Are you 21 or older?*
- Yes
- No
Applicants must be 21 years old or older to adopt a cat from SAFE Haven. Please do not continue with the adoption form.
Cat Preferences and Expectations:
What age cats are you interested in adopting? Check all you would consider.*
- Adult Cat (1 year or older)
- Teenage Cat (6 months - 1 year)
- Kitten (3 months - 6 months)
- Mature Cat (5 years or older)
- Special Needs Cat
What is your cat gender preference?*
- Male
- Female
- No Preference
Will this be your first cat?*
- Yes
- No
How long do you expect it to take your new cat to adjust to its new home?*
- 1-2 days
- About 1 week
- 2-3 weeks
- A month or more
Current Pets:
Do you currently own pets?*
- Yes
- No
What type(s) of pets?*
- Cat
- Dog
- Other
Tell us about your cat(s):
How many cats do you have?*
If over 6 cats, how many in total?*
Hidden
Cat #1:
Name
Age*
Is this cat sterilized?*
- Yes
- No
Is this cat declawed?*
- Yes
- No
Where does this cat stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Cat #2:
Name
Age*
Is this cat sterilized?*
- Yes
- No
Is this cat declawed?*
- Yes
- No
Where does this cat stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Cat #3:
Name
Age*
Is this cat sterilized?*
- Yes
- No
Is this cat declawed?*
- Yes
- No
Where does this cat stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Cat #4:
Name
Age*
Is this cat sterilized?*
- Yes
- No
Is this cat declawed?*
- Yes
- No
Where does this cat stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Cat #5:
Name
Age*
Is this cat sterilized?*
- Yes
- No
Is this cat declawed?*
- Yes
- No
Where does this cat stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Cat #6:
Name
Age*
Is this cat sterilized?*
- Yes
- No
Is this cat declawed?*
- Yes
- No
Where does this cat stay?*
- Inside Only
- Inside and Outside
- Outside Only
Tell us about your dog(s):
How many dogs do you have?*
If over 5 dogs, how many in total?*
Hidden
Dog #1:
Name
Age*
Is this dog sterilized?*
- Yes
- No
Where does this dog stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Dog #2:
Name
Age*
Is this dog sterilized?*
- Yes
- No
Where does this dog stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Dog #3:
Name
Age*
Is this dog sterilized?*
- Yes
- No
Where does this dog stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Dog #4:
Name
Age*
Is this dog sterilized?*
- Yes
- No
Where does this dog stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Dog #5:
Name
Age*
Is this dog sterilized?*
- Yes
- No
Where does this dog stay?*
- Inside Only
- Inside or Outside
- Outside Only
Tell us about your other pet(s):
How many other pets do you have?*
If over 2 other pets, how many in total?*
Hidden
Other Pet #1:
Type / Breed*
Age*
Is this pet sterilized?*
- Yes
- No
Where does this pet stay?*
- Inside Only
- Inside and Outside
- Outside Only
Hidden
Other Pet #2:
Type / Breed*
Age*
Is this pet sterilized?*
- Yes
- No
Where does this pet stay?*
- Inside Only
- Inside and Outside
- Outside Only
Past Pets:
Have you previously owned any pets in the last 5 years?*
- Yes
- No
Please list these pets and describe what happened to them.*
Household Information:
Household member(s):
How many household members including yourself?*
If over 4 household members, how many in total?*
Hidden
Yourself (Member #1):
Relationship*
Your Age*
Hidden
Household Member #2:
Name*
First Last
Relationship*
Age*
Hidden
Household Member #3:
Name*
First Last
Relationship*
Age*
Hidden
Household Member #4:
Name*
First Last
Relationship*
Age*
Are there any young children in your household?*
- Yes
- No
What steps would you take to protect both a young child and the pet?*
Please select your home type*
- Single Family Home
- Townhouse or Condo
- Apartment
- Mobile Home
Are you employed?*
- Yes
- No
Name of your employer*
Is your spouse or partner employed?*
- Yes
- No
- Not Applicable
Name of your spouse or partner employer*
When home alone where will the cat stay?*
- Garage
- Basement
- Outdoors
- One room
- Will have run of the house
- Other
Other place(s) the cat will stay*
Do you have a pet door?*
- Yes
- No
When will the cat be allowed outside? Check all that apply.*
- When I am home
- On a leash only
- On a deck or patio
- Never
- In a fenced yard
- In a screened porch
- When the cat wants to be
- Out during the day only/in at night
Discussion topics for your Adoption Counselor:
Please select the topics you would like to discuss in detail:*
- Litterboxes
- Feeding
- Grooming
- Nail trimming (demo provided)
- Biting
- Scratching (people)
- Scratching (furniture)
- Safe outdoor experiences
- Spraying
- Vaccinations
- Fleas/Worms
- Microchipping
- Introduction to resident cat
- Introduction to resident dog
- Adjustment to new home
- Kids & cats
- Allergies
- Kitten vs. Adult (better for my situation)
- Other topics
List other discussion topics here
Do you plan to declaw your cat?*
- Yes
- No
- Not sure, I need more information
Why do you plan to declaw your cat?*
How did you hear about SAFE Haven Cat for Cats? Select all that apply.*
- Google Search
- Friend/Family
- WRAL Pet of the Day
- Previous Adopter
- Facebook
- Instagram
- SAFE Haven Event
- Volunteer
- Petfinder.com
- TV/Radio
- Veterinarian
- Prefer not to say
- Other Ways
Other ways you heard about SAFE Haven for Cats*
Any additional comments or questions?
Completion of this application means you are 21 years or older. These statements would become part of a written contract if you adopt from SAFE Haven.
Your Full Name (Digital Signature)*
Address*
Street Address Address Line 2 City State ZIP Code
Home or Mobile Phone Number*
Work Phone Number
Email Address*
Email Confirm Email

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