Avian Assessment Form

Address

Birds name

Age

Species

When and at what age did you acquire your bird?

Where did you get your bird?

What other pets live with your bird?

What other humans live with your bird?

Current veterinarian

Medical concerns

Current medications & supplements

Diet

Is your bird clipped?

What size if your birds cage?

Where is the cage located?

Is your bird caged with other birds?

If yes, do they pick on each other?

How much time does your bird spend outside his/her cage?

How many hours of uninterrupted sleep does your bird have? Is the cage covered?

Does he/she go to a different cage for bed?

How often does he/she bathe?

Is your bird exposed to inhalant irritants such as cigarette smoke or incense?

Is your bird afraid of new situations or objects?

Does your bird scream excessively?

Did it make the behaviour better or worse?

Does your bird pick their feathers?

When did your bird begin to feather pick?

When does your bird pick at their feathers the most?

Is there a certain time of the year your bird feather picks?

Do you have more than one bird that picks their feathers? Can they see each other?