Study: OSU Obesity FIC SVNU
How many cats are in the household (please fill out this survey for each of them)?
What is your cat's name?
What is your cat's weight (in pounds):
Please choose a Body Condition Score (BCS) for your cat: 1 2 3 4 5
Diet: Dry... 25% 50% 75% 100% Canned... 25% 50% 75% 100%
If you have more than one cat, what is their relationship? Not related Littermate Sibling Parent-offspring Single cat household Other
Where did you obtain your cat (source)? Select... Shelter Offspring from a pet I already own(ed) Purchased from friend Purchased from breeder Purchased from pet shop Gift Stray/orphan Other (please describe below) Other:
What breed is your cat? Domestic short hair Domestic medium hair Domestic long hair Abyssinian American Bobtail American Curl American Shorthair American Wirehair Balinese Birman Bombay British Shorthair Burmese Chartreux Colorpoint Shorthair Cornish Rex Devon Rex Egyptian Mau European Burmese Exotic Havana Brown Japanese Bobtail Javanese Korat LaPerm Maine Coon Manx Norwegian Forest Cat Ocicat Oriental Persian Ragdoll Russian Blue Scottish Fold Selkirk Rex Siamese Siberian Singapura Somali Sphynx Tonkinese Turkish Angora Turkish Van
What sex is your cat? Male Female
Is your cat neutered? Yes No
Is your cat declawed? Front claws only Front and rear Not declawed
How old is your cat? (years) (months)
How long have you owned your cat? (years) (months)
How many dogs live with your cat?
Which of the following best describes your home? Efficiency/studio apartment 1-2 bedroom apartment 3+ bedroom apartment Attached house/twin duplex Attached house - 3 or more units (townhouse, condomunium, etc.) Single home Other
How many litter boxes do you have in the house?
If you have multiple litter boxes, are they in different rooms of the house? NA Yes No
If you live in a multi-level house, are the boxes located on more than one level? Yes No Not Applicable
Does the cat have its own litter box? Yes No
Are litter boxes located in a convenient, well-ventilated location that still gives the cat some privacy while using it? Yes No
Are litter boxes located so that the cat has easy access to and from the box? Yes No
Are litter boxes located away from appliances and air ducts that could come on unexpectedly? Yes No
Are litter boxes washed regularly? Yes No
Is unscented litter used? Yes No
Is clumping litter used? Yes No
Is the type of litter used kept consistent? Yes No
Is the litter scooped as soon after use as possible; at least daily? Yes No
Are bowls located such that another animal cannot sneak up on the cat while it eats? Yes No Not Applicable
Does the cat have its own food bowl? Yes No
Does the cat have its own water bowl? Yes No
Are the bowls located in a convenient location that provides some privacy while it eats or drinks? Yes No
Are bowls washed regularly (at least weekly) with a mild detergent? Yes No
Are bowls located away from appliances and air ducts that could come unexpectedly? Yes No
Does the cat have its own resting area in a convenient location that provides some privacy? Yes No
Does the cat have a safe hiding area? Yes No
Are perches provided so the cat can look down on its surroundings? Yes No
Can the cat move about freely, explore, climb, stretch and play if it chooses to? Yes No
Is a radio or TV left playing when the cat is home alone? Yes No
Does the cat have the opportunity to be petted? Yes No
Does the cat have daily play sessions where owners actively interact with it? Yes No
Does the cat have a variety of toys to play with? Yes No
Does the cat have many toys to choose from? Yes No
Does the cat like to play with toys? Yes No
Can the cat play with other animals or the owner if it chooses to? Yes No
Are horizontal scratching posts provided? Yes No
Are vertical scratching posts provided? Yes No
How many hours per day are you within sight of your cat? Less than 1 hour 1-3 hours 3-6 hours 6-12 hours More than 12 hours
How attached are you to your cat? Not very Slightly Moderately Very Extremely
Has your cat been diagnosed with any of the following conditions?
Liver: None Infection Hepatic lipidosis Cholangiohepatitis Other
Scratch at its skin or lose hair abnormally? Never Once At least once per year At least once per month At least once per week Daily
Excessively scratch at its ears? Never Once At least once per year At least once per month At least once per week Daily
Produce hairballs or vomit? Never Once At least once per year At least once per month At least once per week Daily
Have diarrhea, constipation or strain to defecate? Never Once At least once per year At least once per month At least once per week Daily
Strain to urinate, attempt to urinate frequently, urinate outside its litter box or have bloody urine? Never Once At least once per year At least once per month At least once per week Daily
Cough, gag, sneeze or wheeze? Never Once At least once per year At least once per month At least once per week Daily
Have "runny" eyes? Never Once At least once per year At least once per month At least once per week Daily
Act aggressively? Never Once At least once per year (Rarely) At least once per month (Occasionally) At least once per week (Often) Daily
Act fearfully? Never Once At least once per year (Rarely) At least once per month (Occasionally) At least once per week (Often) Daily
Act nervous? Never Once At least once per year (Rarely) At least once per month (Occasionally) At least once per week (Often) Daily
What is your cat's response to the telephone ringing? (-3 being fearful, +3 being curious) -3 -2 -1 0 1 2 3
What is your cat's response to a knock at the door? (-3 being fearful, +3 being curious) -3 -2 -1 0 1 2 3
We would also ask that you provide us with your contact information so that we may get in touch with you regarding future studies. This information will not be shared with any other group and any unrequested contact will be kept to an absolute minimum.
Do we have your permission to contact you for follow-up studies? Yes No