Avian Assessment Form First & last name(required) Email(required) Phone number(required) Address(required) Birds name(required) Age(required) Species(required) Sex(required) Male Female Unknown When and at what age did you acquire your bird?(required) Where did you get your bird?(required) Was your bird hand raised or parent raised?(required) Hand raised Parent raised Unsure What other pets live with your bird?(required) What other humans live with your bird?(required) Current veterinarian(required) Last veterinary exam(required) Do you consent that I contact your veterinarian for medical records?(required) Yes No How is your bird at the veterinary hospital?(required) Medical concerns(required) Current medications & supplements(required) Diet(required) Is your bird clipped?(required) What size if your birds cage?(required) Where is the cage located?(required) Is your bird caged with other birds?(required) If yes, do they pick on each other?(required) How much time does your bird spend outside his/her cage?(required) Does your bird have their own furniture in the house? (i.e play gyms, swings).(required) What kind of enrichment is provided? Does your bird use it?(required) How many hours of uninterrupted sleep does your bird have? Is the cage covered?(required) Does he/she go to a different cage for bed?(required) Does he/she go to a different cage for bed?(required) Does your bird like to bathe or shower?(required) Yes No How often does he/she bathe?(required) Is your bird exposed to inhalant irritants such as cigarette smoke or incense?(required) Describe your birds personality(required) Is your bird afraid of new situations or objects?(required) Does your bird scream excessively?(required) Does your bird show any aggression or fear? If yes, please describe the event (before, during and after).(required) Behavioural concerns(required) What do you feel is the function/purpose of the behaviour(s) mentioned above?(required) What have you tried so far?(required) Did it make the behaviour better or worse?(required) Does your bird pick their feathers? When did your bird begin to feather pick? Does your bird… Damage new blood feathers? Pull out feathers? Barber feathers? Create lesions on their skin? 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? What have you tried to stop the feather picking? Did anything help? Submit Δ
Companion Animal Training