Thank you for filling out this questionnaire. Your answers give us the
information we need to help you with house-soiling problems occurring in
How long has the house-soiling been occuring?
Have you used any physical punishment in response to the house-soiling
(eg, rubbing nose in the urine or stool, spanking, water pistol, shouting,
VERY IMPORTANT: Draw a basic house floor plan on a seperate sheet of paper
and bring it with you to your appointment. Mark all items listed below
on the house floor plan so we can get a feeling for the enviornment where
your cat lives.
a = Litter box locations
b = House-soiling locations
c = Windows and doors
d = Scratching post locations
e = Food and water bowl locations
f = Cat doors or flaps
Please number the house soiling locations in chronological order in terms
of when you became aware of deposits in those locations (e.g. b1, b2, etc).