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Client Information
Cat Information
Veterinarian Information
Who is your regular veterinarian?
Behavioral Information
Home Environment
Please list the people, including yourself, living in your household. Also, please briefly describe the way each person interacts with the cat and how the cat reacts to this person:
Please list all animals in the household including the patient, in the sequence in which they were obtained.
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Also, briefly describe the nature of the cat’s interaction with this pet (e.g. occasional growls, little interaction, friendly, etc)
Background Information
Feline Behavior History
FEARS AND ANXIETIES
AGGRESSION SCREEN FOR CATS
The following chart provides information about aggression, its intensity, and in what situations it is elicited. For each situation listed, check your cat’s worst reaction in the past. These questions refer to situations in the past. Please do not do these things to determine your cat’s reaction. If he or she has never been in a particular situation, please check “situation does not apply”. Please indicate the target of aggression (e.g. person or animal) for the appropriate situation.