Mobility/Cognitive Dysfunction Questionnaire My Cat is... Your Cat's Name*Your Name*Less willing to jump up and downYesNoMaybeN/AWill only jump up or down from lower heightsYesNoMaybeN/AShows signs of being stiff at timesYesNoMaybeN/AIs less agile than previouslyYesNoMaybeN/ACries when liftedYesNoMaybeN/AShows signs of lameness or limpingYesNoMaybeN/AHas difficulty getting in or out of the cat flap/cat doorYesNoMaybeN/AHas difficulty going up or down stairsYesNoMaybeN/AHas more accidents outside the litter boxYesNoMaybeN/ASpends less time groomingYesNoMaybeN/AIs more reluctant to interact with meYesNoMaybeN/APlays less with other animals or toysYesNoMaybeN/ASleeps more and/or is less activeYesNoMaybeN/ACries out loudly for no apparent reasonYesNoMaybeN/AHas become more fearful and/or more aggressiveYesNoMaybeN/AAppears forgetfulYesNoMaybeN/ACAPTCHANameThis field is for validation purposes and should be left unchanged. **Ensure there have been no environmental reasons for the change