Date: Client Name: Patient Name: Age: Species: Sex: Address: City: E-Mail: Fax: Phone: Ownership History Date Acquired: From What Source: Was Bird Parent Raised, Incubated, Hand Raised, Unknown? Diet at time of Purchase? Did your bird Fledge? Did you purchase this species for a particular reason? Did you purchase this sex for a particular reason? Health Check Who is your Avian Vet? When was most recent health check? Describe any current Health problems: Describe any previous health issues: Diet Describe your birds diet and detail feeding routine- Include any vitamin supplements provided and treats given: Background Information: What is the current Behavioural Issue? When did current behavioural problem start? Has there been any changes in your bird’s routine that may coincide with the behaviour change? Describe any previous behaviour problems with your bird and the interventions undertaken- Can you describe your bird’s personality? Do you have other pets? Have you previously owned other pets in the lifetime of your bird? Describe how the introduction process and how your bird interacted with each pet. Social Interaction: Who spends the most time with the bird? Who is the preferred person? How are the bird keeping chores allocated? Does your bird socialise with several family members? Describe- Does your bird socialise with other birds/ animals? Has it ever? Do you take your bird on outings? What does your bird do when the preferred person leaves the room? What does your bird do when the less preferred person leaves the room? What does your bird do when the preferred person enters the room? What does your bird do when the less preferred person enters the room? Does your bird socialise with visitors? Activities: Describe a day in the life of your bird? Describe your bird’s cage Does your bird play with toys? Describe preferred toy- Does your bird like to chew and destroy items? Does your bird visit multiple rooms of the house? Does your bird fly? Does your bird bath regularly? How? Does your bird have access to newspaper? Does your bird shred newspaper? Does your bird allow you to remove feed bowls and other items from the cage? How does your bird respond to activity around its cage? Is your bird afraid of anything? Does your bird return to security of cage by self? Do you have difficulty returning your bird to the cage? Is there a window where your bird can see outside? Is your bird stick trained? How do you get your bird out of its cage? Does your bird step up on command? Do you spend time with your bird for training? Does your bird play with you? Can you towel your bird? Describe- Does your bird show signs of sexual arousal? Rub vent on cage, toys, humans etc Does your bird regurgitate food?
Does your bird have nesting territories around the house? Does your bird spend time outside? Describe- Sleep: How many hours of sleep does your bird get? Where does your bird sleep? Do you cover your bird’s cage? Describe? Is there a night light in your bird’s room? Does your bird wake you in the morning? Feather picking: Does your bird currently exhibit any unwanted behaviour besides feather picking? Eg Aggressive postures, claiming territory, nesting, biting, screaming- describe each Does your bird attempt to feed you? Where did the feather picking begin? Eg legs, neck, chest Does your bird have bald spots? Where? Are feathers pulled or chewed off? At what stage of development are the feathers removed? Are the wings clipped presently? Have they been clipped previously? Describe- Does your bird only pick feathers at night? Does your bird only pick feathers when humans are absent? Does your bird pick feathers in front of humans Is the feather picking intermittent? Daily? Rare but lots of feathers at a time? Did it progress slowly or rapidly? Can you think of any triggers for this behaviour? Did the feather picking progress slowly or was there a sudden onset? Can you think of any possible triggers? What measures have been undertaken so far to reduce this behaviour? Screaming: When does your bird scream? Is there a trigger for screaming behaviour? Does your bird scream in the presence of humans? Does your bird scream when other birds in the house vocalise? Does your bird scream when out of the cage? Does your bird scream when outside? Does your bird scream when alone? If multiple birds are owned- Does your bird share a cage? If multiple birds are owned- How close is the nearest cage? If multiple birds are owned- Can your bird hear parrots in another room? Does your bird wake you with screaming behaviour? How is the screaming being managed? What interventions have been undertaken to reduce screaming? What is the human reaction to screaming?
