Name of bird Species Doyoutakeyourbirdoutdoorsexplain2 2 Sex yourstreet Age Describeyourbirdstoys2 How long with owner? yourphone Previous # of homes? Name of owner 1 Name of owner 2 Birdsfavoritetoys2 yourphone2 Address IsyourbirdmicrochippedIfsoprovidebrandchip2 City City2 Describebirdstypicaldailyroutine2 State 3 name Phone # Haveanyremediesyouhavetriedworkedexplain2 Doyoutakeyourbirdoutdoorsexplain3 E-mail address AmountoftimespentINcage2 phone2 Reasons for parting with your bird (see below) yourname Describebirdsdailyexeriseandactivity2 Not enough time - bird's best interest address2 4 Physical problems (feather picking, medical needs) Behavior Issues (biting, aggression, screaming) youremail yourname2 Too much responsibility (messy, loud, destructive) 5 New person or pet in household (problems with adjustment) 6 Describeyourbirdstoys3 Change in living situation - moving email Haveanyremediesyouhavetriedworkedexplain3 Owner illness, medical problems, financial hardship Death of owner or family member **************************************** PARROT HISTORY Doyouleaveonradiotelevisionandorlightswhengone2 **************************************** What is your bird's daily diet? (In detail) address3 Favorite foods? Do you give vitamins and supplements? Why? Cage size (length x width x height) City3 Cage location (area of house) How many perches in cage? Types of perches? (see below) Natural wood - tree branch Dowel rod - smooth street Age2 PVC plastic - smooth 7 street2 PVC plastic - textured 8 yourstreet2 Concrete, Sandy or Calcium TimeofdayspentINcageamnoonpm2 address4 Cotton or Sisal Rope Amount of time spent IN cage? yourname3 Time of day spent IN cage (a.m./noon/p.m.) Favoritefoods2 9 Amount of time spent OUT of cage? Time of day spent OUT of cage (a.m./noon/p.m.) PVCplastictextured2 On average, how many hours is your bird left alone? Do you leave on radio, television and/or lights when gone? Describe bird's daily exerise and activity. Describe bird's typical daily routine. Areyourbirdswingsclipped2 Nameofbird2 Will your bird step-up on command? Nameofbird3 Is your bird stick trained to step up? email2 street3 Describe other commands your bird follows. Describe your bird's toys. 10 PEARTREEwillcontactyoutomakefurtherarrangementsandtosignarelinquishmentform2 Bird's favorite toy(s) How often does your bird get a bath? Age3 PEARTREEwillcontactyoutomakefurtherarrangementsandtosignarelinquishmentform3 Describe how you bathe your bird. street4 11 Do you take your bird outdoors? (explain) Who does your bird relate to best? State2 Is your bird well socialized? street5 Do you take your bird to an Avian Veterinarian? Name & location of Avian Veterinarian Avian Veterinarian's phone number 12 yourname4 Are your bird's wings clipped? youremail2 yourname5 Does your bird have a leg band? (details) Is your bird micro-chipped? (If so, provide brand & chip #) Howmanyperchesincage2 Had your bird been sexed? (DNA or surgical) NamelocationofAvianVeterinarian2 Any current or past medical problems? Any behavior issues? name2 yourname6 Describe remedies you have tried to correct the problems. Willyourbirdstepuponcommand2 Have any remedies you have tried worked? (explain) *********************************************************************** BehaviorIssues2 Thank you for taking the time to answer all of the questions as accurately as possible. Your answers will help PEAR TREE to give a proper evaluation, offer any modifications or treatments needed, and eventually place your bird in the most appropriate home. Emailaddress2 address5 PEAR TREE will contact you to make further arrangements and to sign a relinquishment form. email3
