Is your cat new to Chilltown Pet Spa?

Yes
No

How much does your cat weigh?

Over 12 lbs.
Up to 12 lbs.

What breed is your cat?

Domestic shorthair
Domestic long hair
Persian or Himalayan
Exotic Shorthair
British Shorthair
Kitten
Maine Coon
ragdoll
American Shorthair
Scottish Fold
Norwegian Forest Cat
Do not know

Is your cat's coat matted?

Yes
No
I'm not sure

How old is your cat?

Does your cat live indoors outdoors or both?

Indoors only
Outdoor only
Both Indoors and Outdoors

Can members of your household safely pick up your cat?

Yes
No
Not sure

When did your cat last see a veterinarian?

Is your cat up to date with the Rabies shot?

Yes
No
If No he/she needs an updated rabies shot.
A current rabies vaccination is required before grooming services can be provided.

Which grooming service are you requesting?

Bath
Bath with De-Shedding
Comb Cut
Lion Cut
Nail Trim Only
Not sure - please recommend.

Would you like any optional add-on services?

Flea Bath
Sanitary Trim
Half Belly Shave
Soft Paws - back paws
Soft Paws - front and back paws
Soft Paws - front paws
Belly Shave
Paw Tuft Trim
Full belly shave
None

Health and Medical information - check if yes.

Is your cat Spayed or Neutered?
Does your cat have any medical conditions?
Does your cat have heart problems?
Does your cat have history of seizures?
Does your cat have arthritis or mobility problems?
Does your cat have any allergies?
Is your cat currently taking medications?
Has your cat have any previous reactions to grooming?

Photo permission

Yes, Chilltown Pet Spa may use photos of my cat on his website or social media.
No, please do not use photos of my cat.

Has your cat shown signs of stress during previous grooming visits?

Panting
Growling
Hiding
Biting
Scratching
None
Not sure

Behavior Questions - new clients only

Does your cat dislike being touched in certain areas?

Yes
No

Is your cat fearful of strangers?

Yes
No

Has your cat ever needed sedation for grooming?

Yes
No

Does your cat tolerate combing?

Yes
No

Is your cat comfortable with nail trims?

Yes
No

Does your cat scratch when stressed?

Yes
No

Has your cat had any previous reactions to grooming? to grooming?

Yes
No

What is your cat's name?

Owner's full name

Best phone number

May we text you about your appointment request?

Yes
No

Question or additional information

User Agreement

By submitting the form I confirm that I reviewed and accepted Chilltown Pet 'S policies procedures and services terms.

Submitting this form is an appointment request. Your appointment is not confirmed until Chilltown Pet Spa contacts you.