Prepared by Kingstowne Cat Clinic
1. On a separate sheet of paper, please draw a simple diagram of each floor in your home. Use the following keys to indicate location of each of the following:
- Litter boxes (use the numbers 1,2,3, etc. to correspond to box locations)
-Feeding locations (F)
-Scratching posts (SP)
-Sleeping spots - daytime (SD)
- Sleeping areas - nighttime (SN)
- Play are (P)
- Site of inappropriate scratching (D)
- Site of inappropriate urination (U)
- Site of inappropriate bowel movements (BM)
2. Has the cat ever had a urinalysis performed?
If yes, what were the results and treatment?
3. Have you ever observed the problem?
- does any straining or pain accompany:
urination?
Defecation?
- Have you seen blood in the:
Urine?
Stool?
- Has there been any changes in: (please explain)
- frequency or amount of urine?
- number of bowel movements or consistency of the stool?
- amount of water consumed?
- Appetite?
4. How many cats share the litter boxes?
5. How many litter boxes are available to the cat(s)?
6. How many of the boxes are covered?
7. What are the sizes of the boxes?
8. Where are the boxes? ( May show on floor plan)
9. How deep is the litter in each of the boxes?
10. Are liners ever used?
11.If liners are used, are they scented?
12. List all types of litter used for each box.
13. Are any of the litters scented?
14. Does the cat respond differently to any of the above styles of boxes or litters, sizes of box, or depths of litters?
15.How frequently is the litter changed or scooped?
Regular litter -
Clumping litter -
16. How frequently are the litter boxes washed?
17. Are deodorants used in the cleaning process?
18. How old is each litter box?
19. List any other litters you have tried in the past and the cat’s reaction to each.
20. List the types of litter boxes you have tried in the past and the cat’s reaction to each.
21. List previous litter box locations and the cat’s reaction to each.
22. How often does your cat:
Urinate outside of the box?
Defecate outside of the box?
23. Is there a particular object, clothing, or piece of furniture that is involved?
24. Can your cat see, hear, or smell other cats on your property?
25. Are the areas close to doors or windows and which levels of the house does the problem occur?
26. What kind of surface does your cat use outside of the box?
27. Are there any surfaces where your cat will not eliminate?
28. Is there a preference for urinating on:
- Upright surfaces (e.g. walls)?
- Horizontal surfaces (e.g. floors)?
29. When did the inappropriate elimination begin?
30. Have there been previous episodes in the past?
31. Was the cat ever completely litter box trained?
32. Were there any changes in the household when the problem began?
33. Were there any changes in the litter, litter box, or box location when the problem began?
34. Are there any personality conflicts between the cats or other pets in the household?
35. Have you ever witnessed the inappropriate elimination?
If yes, what did you do?
If no, when does the problem occur?
36. Can you think of any pattern (e.g. seasons of the year, days of the week, while owner is out of town)?
37. What do you think caused the problem?
38. What correction techniques have you tried and what were the outcomes of each?
39. Have any drugs been tried?
If yes, please list and describe the effect of each.