Feline Congitive Assessment

Today's Date:*

Owner's Name:*

First Last

Pet's Name:*

Primary Phone #:*

Primary Email:*

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A: Spatial Awareness

My cat appears lost or confused in a familiar environment*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat struggles to recognize familiar people and animals inside or outside my home*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat responds abnormally to familiar objects around my home*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat wanders around without purpose or direction*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat has difficulty performing previously learned tasks*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

B: Sleep-Wake Cycles

My cat has shown changes nighttime behaviors (wandering, vocalization, restlessness)*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat has shown changes in their ability to sleep at night and/or how much they sleep throughout the day*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

C: Social Interactions

My cat is less interested in interacting with other people or animals (welcoming, petting, playing, etc.)*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat no longer enjoys activities that used to excite them (playing with toys, exploration, etc.)*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat is less responsive to commands*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat appears anxious or fearful at home*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat has acted fearful or aggressive toward people, animals or environmental stimuli*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat struggles to adapt to changes in routine or environment*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

D: House Soiling

My cat eliminates in their own bed or sleeping locations*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat appears to struggle with finding their litter box*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

My cat appears to struggle getting in and/or out of the litter box*

0 - I have never observed this behavior in my pet
1 - I have observed this behavior at least once in the last 6 months
2 - I have observed this behavior at least once per month
3 - I have observed this behavior at least 2-4 times per month
4 - I have observed this behavior several times per week

Behavior: Final Score*

Equation to get final score: A + (Bx2) + C + (Dx2)

A: Spatial Awareness

B: Sleep-Wake Cycles

C: Social Interactions

D: House Soiling

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