Animal History Form

Woodside Animal Centre is a non selective Dog and Cat Animal Shelter as such, we have limited space due to continual high occupancy.

On occasions where our waiting list exceeds 3 weeks and we cannot take your animal in, we are able to offer appropriate advice.

If your animal is 8 years or over, we will ask that your pet is health checked by a vet. Once this is done, please complete the form.

Answering these questions honestly will not stop the RSPCA from admitting your animal but will ensure that we are able to provide the correct care for your animal.

Please note that Woodside Animal Centre is currently only admitting Cats and Dogs to its facilities.

Animal's Name *
Species *
Gender *
Colour *
Description *
Breed *
Age *
Owner's reason for parting with animal
Has the animal lived with children?
If yes, please specify the ages of children and animal's behaviour
If no, has the animal had frequent contact with children?
If yes, please specify the ages of children and animal's behaviour
Has the animal lived with animals other than cats and dogs? If so, please specify
Is the animal used to men and women?
Has the animal been neutered?
Where did you get the animal from initially?
How would you describe your animal's behaviour? For example: bold, shy, timid, aggressive, affectionate
How does your animal react to grooming?
How does your animal behave at the vets?
Does your animal have any medical conditions that are undergoing treatment?
Has your animal had any previous operations or treatment for medical conditions?
Does your animal have any known allergies?
Is he/she prone to biting?
Has he/she any unusual behavioural habits?
Have you got vaccination records for the animal?
Has the animal ever been destructive in the house? Please describe
Dogs
Has the animal lived with dogs? If so, please specify age, sex and reaction
Has the animal lived with cats? If so, please specify age, sex and reaction
Please describe your animal's feeding regime - brands of food, scraps, dry or tinned, flavours, feeding times and quantities. Any dislikes?
Is the dog housetrained?
Does the animal travel well?
Do you leave the animal alone for any period of time? If so, how long for and do you have concerns about them being on their own?
Is the dog walked on a collar or a harness?
How does the dog react to other dogs outside of the home, e.g. on walks?
Will the animal give up toys when commanded to?
Cats
Has the animal lived with dogs? If so, please specify age, sex and reaction
Has the animal lived with Cats? If so, please specify age, sex and reaction
Please describe your animal's feeding regime - brands of food, scraps, dry or tinned, flavours feeding times, quantities. Any dislikes?
Is the animal litter trained?
Does the animal travel well?
Does the animal use a scratching post, scratch at furniture, etc?
Person providing information *
First Name *
Surname *
First Part of Postcode *
Telephone Number
By Ticking this box, you give consent for the RSPCA Leicestershire Branch to telephone you about the animal only *
Email Address
ByTicking this box, you give consent for the RSPCA Leicestershire Branch to email you about the animal only *