| Thank you for your interest in contacting Lana Fraley Rich, The Catsultant. Please fill out the brief form below to allow me to gain a better understanding of your problem. Upon receipt of
this form, I will contact you to schedule an in-home or phone Catsultation. I look forward to working with you and your cat to resolve your cat behavioral problem.
If you prefer, contact me at 1-800-709-MEOW (local/ 512-264-8099) with any questions or email me at the address listed below.

owner info

Owner's Full Name:
Email Address: Contact Number:

general cat info
 Cat's Name: Age:
Sex:
Breed: Color:
Is (s)he declawed? No Yes
When did you acquire this cat?
Briefly describe below how you acquired this cat:
Behavioral challenge
 What feline behavioral challenge are you experiencing? Check all
that apply:

Litterbox aversion/Spraying
Aggression
Destruction of furniture, cords, clothes, etc.
Extreme Vocalization
Multi-cat household issues
New addition (pet or human) problems
Other
How long have you been dealing with this issue?
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