Kitty Angels of CT - Adoption Pre-Screening Survey Kitty Angels of CT Adoption Pre-screening Survey Question Title * 1. Please provide the following demographic information. Name Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number OK Question Title * 2. Please provide the age(s) of each person living in the household. OK Question Title * 3. Do you rent or own your home? Rent Own OK Question Title * 4. Please discuss the working status/jobs of the adults in the home. OK Question Title * 5. Is there a specific cat, or gender/age cat that you are interested in? Why? OK Question Title * 6. How will your new cat live at your home? Indoor Barn/Outdoor Indoor/Outdoor House Cat OK Question Title * 7. Select one of the following options regarding declawing. I would not declaw. I plan to declaw. OK Question Title * 8. What animals currently live in your home? Are they up to date on vaccinations? OK Question Title * 9. Have you ever had animals in the past? Where are they now? OK Question Title * 10. If FORCED to move from your current home, what are your plans for your cat(s)? OK Question Title * 11. Have you ever had to rehome an animal for any reason, at any point in your life? If yes, why? OK Question Title * 12. If you are approved to adopt a cat, what changes will you make in your life to benefit the animal? Household? Work? Financial? OK Question Title * 13. MANDATORYVet Reference:Personal Reference: **NOTE: You MUST call your vet and provide a verbal release for Kitty Angels of CT to call and inquire about animal care history. OK NEXT