Thank you for filling out this questionnaire. Your answers give us the information we need to help you with house-soiling problems occurring in your household. Please check every box that applies and enter additional information where needed.

How does your cat interact with family members?
How does your cat interact with strangers?
If you have other cats or pets in the household, have you recently seen your cat responding to them in any of the following ways?
Does your cat go outside?
Do you have a cat door or flap to the outdoors?
Can your cat see other animals from inside your home?
What type of food do you feed your cat?
Type
How often
Type of litter used
If your cat urinates when house-soiling, how would you describe the urine?
If your cat defecates when house-soiling, how would you describe the stools?

How long has the house-soiling been occurring?

Do you remember the first incident?
What kind of surface is targeted?
Is the cat targeting vertical surfaces with urine?
How often is the house-soiling soiling occurring?
How has the frequency changed since the problem started?
Have there been any changes recently (or around when the house-soiling started)?
Have you used any physical punishment in response to the house-soiling (eg, rubbing nose in the urine or stool, spanking, water pistol, shouting, confinement)?
Is your cat easy to medicate?
What are your preferred formulations for any medications?
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