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AVES Bird Husbandry Questionnaire

Many health problems in birds can arise from inappropriate husbandry. By filling out the information below, to the best of your ability, we can more accurately identify your bird’s problem/s.

CLIENT DETAILS

First name ^*

Last name ^*

Email ^*

Phone ^*

Address ^*

ANIMAL DETAILS

Animal name ^*

Animal species ^*

Select Dog Cat Bird Guinea Pig Reptile Rabbit Horse Other

Animal breed ^*

Animal color ^*

Animal gender (e.g. male, female, unknown) ^*

Select Female Male

Animal DoB or age ^*

Is age accurate or estimate? ^*

How long have you owned your bird? ^*

Where did you obtain your bird? ^*

How was your bird raised?

hand-reared

parent-reared

unknown

Do you own any other birds/pets ^*

Are other birds housed together? ^*

What species are the other birds? ^*

HOUSING

Cage size and material: ^*

Where is the cage located? ^*

Is the cage taken outdoors? ^*

If outdoor, is there exposure to wild birds? ^*

Number of perches: ^*

Perch material: ^*

Toys and furniture (describe types and material of toys, foraging toys, presence/absence of a nest box and any other furnishing): ^*

What is on the bottom of the cage? ^*

How often is the cage cleaned and with what? ^*

DIET

Please enter the seeds description/brand, amount fed and frequency ^*

Please enter the pellets description/brand, amount fed and frequency ^*

Please enter the vegetables description, amount fed and frequency ^*

Please enter the native vegetation description, amount fed and frequency ^*

Please enter the human food description/brand, amount fed and frequency ^*

Please enter the supplements description/brand, amount fed and frequency ^*

Please enter any others description/brand, amount fed and frequency ^*

Type of food dish (number, size, material): ^*

Water dish, water source and frequency changed: ^*

SOCIALISATION AND ROUTINE

Bedtime and waking up time: ^*

Is the cage covered at night?^*

Yes

No

Does your bird spend time outside the cage during the day? If so, how many hours? ^*

Does your bird bath/shower^*

Yes

No

When did your bird last moult? ^*

Who does your bird socialize with in the household? ^*

Does your bird dislike any family members? ^*

Does your bird have any behavioural problems that concern you? ^*

ADDITIONAL INFORMATION

If there are any other important aspects of your bird’s husbandry, please note them here: ^*

What is the primary reason for your bird’s vet visit? ^*

Is your bird currently on any medication? ^*

If possible, please bring PHOTOS of your bird’s housing. Thank you. We look forward to meeting you soon. AVES

AMENDMENT

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