Cat Surrender Questionnaire

Fill Out Cat Surrender Questionnaire


Lake Humane Society is a managed intake facility, which means we do not euthanize healthy animals for time or space. All of our animals that come in, stay until they are adopted out to loving homes! Because of this, we almost always work off of a waitlist for new intakes and schedule surrender appointments based off of the amount of adoptions we go through in a day, on top of helping any animals our humane agent may bring in.
While we try to help any animal that needs to be surrendered, there are circumstances that the animal may not be a good fit at our facility. If we cannot accept it, we will try to provide any other resources we may have to help assist you.
PLEASE NOTE: Intakes are by appointment only.
**Please write “Not applicable or N/A” to any required question that does not pertain to your pet.


Cat Surrender Questionnaire

"*" indicates required fields

(please make sure this is accurate as this is how the intake coordinator will reach out to you once this form is submitted).
Choose one:*
Have you attempted to contact and return your cat to where you got them from?*

My cat eats:*

Does the cat like being picked up?*
What is the cat's personality like? Check all that apply.*
Who all lives in the home? Check all that apply.*
Does the cat ever hiss or swat?*

Does the cat have 24 hour access to a litter box?*
Is the litter box:*
Does the cat ever have accidents outside of the litter box? If so, is it:*
If litter box accidents were an issue, have you taken the cat to a vet to try and solve the issue?*
Has the cat ever bitten anyone?*
Has the cat ever bitten or gotten in a fight with another animal?*
Please list any significant health issues.*
List any current medications, including flea prevention and when these medications were last given.*
Please email the cat's most recent medical records to*

Please email a recent photo of your cat to (Please put the name that this survey is being submitted under and the cat's name as the subject line.)*

We understand giving up your pet is extremely hard. Before surrendering, would you like to discuss resources or avenues to help keep you and your cat together?*
I understand that by submitting this form it is not guaranteed that Lake Humane Society will be able to take this cat.*
This field is for validation purposes and should be left unchanged.