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Your FIV cat

Please use the spaces provided below
to give as much of the requested information as possible.

First FIV cat
Please use the space below for just one FIV cat at a time - if you have
information for more than one FIV cat, please complete this one first, and
then return to repeat the process for each cat in turn.


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Section 1 - About you, the owner
Owner's name (can be withheld from the website if you prefer - see below)


Are you happy for your name to be included on the website with the information of your cat?
Please include my name    please withhold my name

Your email address (will NOT be added to the website - just for us to contact you)

Please confirm the email address (just to avoid mistakes!)


Country / area - where you live


Are you a private owner / rescue / vet tech etc / other?


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Section 2 - About the cat
Cat's name


Gender


Neutered / spayed
Yes  No

Colour


Please describe your cat's character and personality
(eg, nervous - confident - affectionate to humans - to other cats - anything
else that describes the cat's character)


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Section 3 - Life of cat (with you)
Does your cat live as: indoor-only - indoor/outdoor - outdoor-only?


Is yours a single cat or multi-cat household, or rescue / sanctuary?


if multi-cat, how many others, and are they FIV positive or FIV negative?


What do you feed your cat (wet, dry, combination, raw)?


Do you give your cat any regular, general supplements?



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Section 4 - Background details
Is the cat still living, or passed away?
Living - passed away

When (approx date) did you acquire the cat?


What age (guesstimate) was the cat when you acquired him/her?


If no longer living, how long did you have the cat?


What condition was the cat in when you acquired him/her?


What do you know of the cat's history before being with you (health, circumstances)?


Was the cat known to be FIV when you acquired him/her?
Yes - No

When was the cat diagnosed FIV+ (year or approximate age)?


Why was the cat tested for FIV (eg: routine or due to illness)?


If the cat is no longer alive, when (year and/or approximate age) did he/she die, and
do you know the cause of death?


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Section 5 - Cat's health whilst with you

This is the most important section, we want to use the information
provided to build up a health history for the time the cat has been/was
with you. (concentrate on the health issues - we can't cover too many
treatments used, that would be beyond the scope of this project)

Firstly - was/is your cat generally healthy or sickly?
Please give an overall general impression over the lifetime,
(eg "Mainly healthy with just a few minor infections"; "Was well for several years,
but then developed multiple problems"; "had a recurring ...")
Just a paragraph which sums up the overall state of health


More details - We would like to build as detailed a picture of the health
of your FIV cat as possible. So, if there are more details that you can tell
us, it would be very helpful.
(For instance - Can you list each problem that occurred? Roughly when did each occur? and how long did it last - ie a few days, weeks, months or ongoing? - This is just so we can get an idea of the scale of each problem.)

Don't worry of you can't remember the details; anything you can tell us
would be helpful. Please tell us what you can here:



General story of your cat
Please feel free to tell us anything else about your FIV cat if you think it
would add to the full picture of what it is like to own an FIV cat!


Finally - does your experience of FIV match what you were
led to believe when you first heard about the virus ?


Thank you for taking the time to complete this form,
to send this information to us, click:


That's the end of the form for this cat. If you have another cat to tell us about, after sending this form, please return and complete it again with the new information. Thank you.