Feline Inappropriate Elimination Disorder Questionnaire

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PLEASE SELECT A LOCATION:*
- Lake Minnetonka Pet Wellness Center: in Navarre next to Dairy Queen
- Westonka Animal Hospital: In Mound Marketplace near Jubilee
Client Name*
First Last
Client Email*
Describe the types (species, breeds, and ages) of the pets in the home.*
Do you know who is urinating inappropriately? If so, name of your pet and age.*
Describe the behavior, including your cat’s body position, while eliminating.*
When and where did the behavior begin?*
When and where does the behavior happen now?*
List any changes associated with the appearance of the behavior?*
How many places are associated with the behavior?*
How frequently does the behavior happen? (for example, how many times per day, weeks, or per month?)*
Describe your cat’s preferred environment – where does your cat like to spend most of his/her time – give the function of the room. Has this changed since the appearance of the problem?*
How many litter boxes are in the home? Are they located next to each other? Describe where the litter boxes are in various rooms. You may draw a diagram if you would like.*
Upload photo or diagram here.
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 60 MB.
If there are different levels to the home, are there litter boxes on all of the levels? Describe the situation.*
Are the litter boxes covered or uncovered?*
Are the litter boxes commercially available boxes or are they custom made? If custom made, please describe size.*
This is a very critical question so please answer honestly. Describe the schedule of litter box(es) cleaning.*
What type of litter are you currently using and what types have you tried since the problem started?*
What types of cleaners have you been using to clean the floors where the elimination happened?*
What types of food (canned or dry) and brands do you feed your cat?*
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Feline Inappropriate Elimination Disorder Questionnaire

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