| Space | DK | NA | Yes | No | Comments | |
| 1 | Does each cat have its own resting area in a convenient location that provides some privacy? | |||||
| 2 | Are resting areas located such that another animal cannot sneak up on the cat while it rests? | |||||
| 3 | Are resting areas located away from appliances or air ducts (machinery) that could come on unexpectedly while the cat rests? | |||||
| 4 | Does each cat have the opportunity to move to a warmer or cooler area if it chooses to? | |||||
| Food and Water | ||||||
| 5 | Does each cat have its own food bowl? | |||||
| 6 | Does each cat have its own water bowl? | |||||
| 7 | Are the bowls located in a convenient location that provides some privacy while it eats or drinks? | |||||
| 8 | Are bowls located such that another animal cannot sneak upon this cat while it eats or drinks? | |||||
| 9 | Are bowls located away from machinery that could come on unexpectedly? | |||||
| Litter boxes | ||||||
| 10 | Does each cat have its own box in a convenient, well-ventilated location that still gives the cat some privacy while using it (1 litter box per cat + 1)? | |||||
| 11 | Are boxes located in more than one area of the house? | |||||
| 12 | Are boxes located so another animal cannot sneak up on the cat during use? | |||||
| 13 | Are boxes located away from machinery that could come on unexpectedly during use? | |||||
| 14 | Are boxes washed regularly (at least monthly) with a mild detergent (like dishwashing liquid), rather than strongly scented cleaners? | |||||
| Social Contact | ||||||
| 15 | Does each cat have the opportunity to engage in play with other animals or the owner if it chooses to on a daily basis? | |||||
| 16 | Does each cat have the option to disengage from other animals or people in the household at all times? | |||||
| 17 | How many hours a day are you in sight of your cat? | ______(h/day) | ||||
| 18 | How many minutes a do you spend petting your cat? | ____(min/day) | ||||
| 19 | How many minutes a do you spend playing with your cat? | ____(min/day) | ||||
| Body Care and Activity | ||||||
| 20 | Are horizontal scratching posts provided? | |||||
| 21 | Are vertical scratching posts provided? | |||||
| 22 | Are chew items (e.g., cat-safe grasses) provided? | |||||
| 23 | Does each cat like to play with toys? | |||||
| 24 | Does each cat have toys to chase that mimic quickly moving prey? | |||||
| 25 | Does each cat have toys that can be picked up, carried, and tossed in the air? | |||||
| 26 | Are toys rotated on a regular basis (at least weekly) to provide novelty? | |||||