Questionnaire

Bengal Kitten/Cat
New Owner Application
and Initial Interview
Questionnaire
(please cut and paste into an email)
E-mail: Bengal Exotic FX

This questionnaire provides additional information that is helpful in our being able to establish which areas of pet ownership a new pet owner could benefit from our guidance.

We maintain an ongoing commitment to all kittens born at Bengal Exotic FX and seek homes that will provide quality care, love and nurturing and also provide and attend to all veterinary needs immediately as they arise or become due.

Purchasing a kitten or cat from us, we would expect this little purrson to become an integral member of your family and a cherished companion (as would your own child). We would also expect that you will never consider parting with your kitten or cat unless absolutely necessary and that you will always contact us first should that need ever arise.

Name: ____________________________________ Date: _______________________
Address: __________________________________ Phone: ______________________
City: _____________________________________ Postal Code: _________________
Email: ____________________________________ Spouse's Name: ______________
Consent of spouse for this purchase? ___________ Fax: ________________________
Occupation (optional): _______________________ Work Phone: _________________

Type of Home (circle one): Apartment - Condo - Mobile Home - Duplex - Single Family Dwelling

Location (circle one): Village - Town - City - Rural Acreage - Farm

QUESTIONNAIRE

1. You heard about Bengal Exotic FX, or were referred to us by: __________________________________

2. Have you read the article published by the American Cat Fanciers Association, Titled: What Breeders Look For In Buyers? http://www.acfacat.com/buyers.htm Yes ____ No ____

3. What prompted your interest in Bengals? ______________________________________

4. Have you researched or read any books or articles on the breed? Yes ____ No ____
Please specify: _________________________________________

5. With regard to your expectations of owning a Bengal cat, have you met or been around your selected breed in purrson so that you are aware of their higher level of activities, being more vocal and often indulging in nocturnal play? And are you also aware of these breeds having a keen interest in water, often intrigued by the bathtub, enjoy running tap water and yes, even toilets flushing? Yes ____ No ____

6. Have you considered whether this breed is compatible with your lifestyle (referring to things like having precious trinkets on display, leather furniture that may puncture, time when no one is home, amount of quality time available for a more demanding natured cat)? . Yes ____ No ____
( These are little things that can be of concern and deter from a growing relationship and companionship.)

7. Would you consider purchasing two kittens if, in accordance with your lifestyle, it appears your kitten would be happier with a play mate and alternative companion? Yes ____ No ____

8. Do you presently own any cats or kittens? Yes ____ No ____

9. If yes:
- Did you get your kitten or cat from: Humane Society ____, Rescue ____, Ad in paper____, Friend ____, Other ____
- Do you vaccinate? Yes ____ No ____ When last given __________
- Do you give modified live vaccines or killed vaccines? MLV ____ KV ____
- Is / are your cat(s) spayed or neutered? Yes ____ No ____
- Is / are your cat(s) declawed? Yes ____ No ____
- What foods do you feed your cat(s)? - Name all: _____________________________________ ___________________________________________________________________________
- What type of litter do you use? __________________________________________________
- What type of litter boxes do you use? _____________________________________________

10. Are you familiar with:
- Microchipping versus tattooing for identification? Yes ____ No ____
- Nutrition in relation to development and health? Yes ____ No ____
- Basic animal care? Yes ____ No ____
- Vaccination protocols or preferences? Yes ____ No ____
- Grooming of cats, nails and coat? Yes ____ No ____
- Litter box hygiene? Yes ____ No ____
- Parasite prevention and control? Yes ____ No ____
- Effects of stress on a kitten or cat and the causes? Yes ____ No ____
- How to detect warning signs of illness and disease? Yes ____ No ____
- How to prevent illness and disease? Yes ____ No ____
- The financial commitment required to maintain optimum health, illness and disease prevention and the necessity to be prepared for any vet costs should your kitten acquire a disease or become ill anytime during it's life time? Yes ____ No ____

HOME ENVIRONMENT:

11. Do you rent where your landlord approves indoor pets? Yes ____ No ____

12. Please list all current pets in your household (cats, dogs, fish, reptiles, rodents or birds, etc.) NAME, TYPE OR BREED, AGE, GENDER, INDOOR OR OUTDOOR,
SPAYED OR NEUTERED
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

13. Please list all pets previously owned in the past 5 years: NAME, TYPE OR BREED, AGE, GENDER, HOW LONG OWNED?
WHERE NOW?
IF DIED, HOW? And WHEN?
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________

14. Have any of the above animals had any contagious illnesses such as parvo, distemper, feline leukemia or FIP? Yes ____ No ____

15. Which ones? ________________________________ And how long ago? _______________________

16. Have you ever adopted a pet from a shelter or rescue organization? Yes ____ No ____

17. Have you ever taken a pet dog to obedience classes? Yes ____ No ____

18. Do you work out of the home where there would be extended periods of time where your new kitten would be alone? How long (____) hours. Yes ____ No ____

19. Is there someone home most of the time? Yes ____ No ____

20. Where will your kitten be kept during the day? (Please Circle) In House - Outside - Fenced Yard - Garage - Crate - Other ___________ .

21. Where will your kitten be kept at night? (Please Circle) In House - Outside - Fenced Yard - Garage - Crate - Other ___________ .

22. a) Do you have children in the family home? Yes ____ No ____
How many? _____________ Ages: ______________________
b) Do you have children come to visit your home? Yes ____ No ____
How often? _____________ Ages: ______________________

23. Are all children in or attending your home responsible in safe kitten handling? Yes ____ No ____

24. Do you, or would you take your cat on outings, camping, to friend's home, to pet stores or to cat shows? Yes ____ No ____

25. Do you have any toxic or poisonous plants in your home? Yes ____ No ____

26. For all your kitten concerns, including behaviour, vaccinations, health issues, showing us pictures and sharing fun stories of your experiences with us (the breeder), are you willing to learn, remain in close contact/association and make use of us as a primary resource for your kitten and additional support for you, the kitten and your vet? ? Yes ____ No ____

27. Would you provide references upon request such as, friends, relations, landlord or vet that we may contact with your permission? Yes ____ No ____

28. Would you allow us to visit your home for further interview or while we evaluate a potential kitten purchase if need be? Yes ____ No ____

29. Who is your regular and/or past Vet (name, address and phone)? ____________________________________________________________________________

30. Is your vet willing to learn more about Bengals and any differences that may apply to this breed? Yes ____ No ____

31. Would you be adverse to me (the breeder) discussing your pet's health or needs with your vet and being involved as a source of information and support to both, you, the kitten and your vet based on my experience with the breed, cat breeding, education and recommendations? Yes ____ No ____

Please Note: Unfortunately, some Vets are misinformed, or have had less than desirable experiences with Bengals and are not "Bengal Friendly", or believe they are wild cats. Also, some Vets are not "Breeder Friendly". Should either of these apply to your personal veterinarian, we would recommend you interviewing several Vets to find a one that you are comfortable with and that is right for you and your new kitten. It is important that you ask prior to requiring veterinary assistance in a hurry. I may be able to make suggestions if I know of a vet in your area and have had excellent reports from their clients.

PLEASE INDICATE YOUR PREFERENCES: (Circle all of what you like)
Brown Spotted, Brown Marbled,
Seal Lynx Point Spotted, Seal Lynx Point Marbled
Seal Mink Spotted, Seal Mink Marbled
Seal Sepia Spotted, or Seal Sepia Marbled
Melanistic Spotted, Melanistic Marbled (Black on Black) (Non-standard)

Please review the following clauses and respond with an X on "Yes" if you agree.
a) I / We understand that should any information presented in this application be misleading of found to be false, my/our application can be refused for the purchase of a kitten/cat.
Yes ___

b) I / We understand that completing this application does not guarantee kitten/cat purchase. Yes ___

c) I / We understand that should I/we decide to purchase a kitten I/we will be required to sign a Kitten Purchase Contract stipulating the terms of the sale, the buyer and breeder responsibilities. Yes___
(A typical breeder pet contract which can be reviewed on this website - See Our Contract in the menu.)

Signature(s) of Applicant(s): ______________________________________ ______________________________________ (Print names if not legible)

Please feel free to comment, ask questions, or request discussion about anything contained in this application or any other questions or concerns you may have.

We are looking forward to our days ahead and thank you for taking the time and effort for us to get to know you better and also be able to see where we can be of better service to you, and assist you with your kitten's needs.