Avian Care Questionnaire

Animal Hospital of Warwick

2370 York Road, Commonwydds A-1
Jamison, PA 18929

(215)343-5300

www.animalhospitalofwarwick.com

Avian Care Questionnaire


  

Avian Care Questionnaire Form

Does your pet ever go outside? (required)

No
Yes, supervised playtime
Yes, unsupervised playtime (includes time in cage/fenced area, if no human present)
Yes, lives outside in good weather
Yes, lives outside all year


Are your pet’s wings kept clipped? (required)

Yes
No


Does your pet live primarily in a cage? (required)

Yes
No


If Yes, what are the dimensions of the cage?

If No, or if your pet is ever allowed out of cage unsupervised, where does your pet live and/or play? (i.e. what rooms)?

Where is the cage located? (required)

Does your pet share a cage/habitat with any other pets? (required)

Yes
No


Does your pet interact or live with other pets, outside of a cage (including supervised playtime)? (required)

Yes
No


What bedding / cage lining do you use in your pet’s habitat? (required)

CareFresh, CelSorb, Yesterday’s News, or other paper/pulp bedding
Aspen shavings or pellets
Pine or Cedar shavings or pellets
Paper/Sandpaper cage liner (product intended for this use)
Plain paper / paper towel (no print)
Newspaper / paper towel / scrap papers with print
Other


Is your pet separated from bedding / cage liner by a grate? (required)

Yes
No


How many perches are available in the cage? (required)

Approximately how wide are perches? (Diameter) Widest: (required)

Approximately how wide are perches? (Diameter) Narrowest: (required)

How many perches are sandpaper or other rough texture? (required)

Is there a nest box or other hiding spot in cage / living area? (required)

Yes
No


What sort of toys does your pet have? (required)

Are there any live plants in your pet’s habitat, or in areas of the home where your pet plays? (required)

Yes
No


If Yes, what kind:

Are the room(s) where your pet lives / where cage is located air conditioned? (required)

Yes
No


Are the room(s) where your pet lives / where cage is located heated? (required)

Yes
No


What is the typical temperature? (required)

Please tell us about anything else that is in your pet’s habitat:

What packaged food does your pet eat? (Brand & Variety) (required)

This food contains: (required)
Plain pellets
Colored/flavored pellets
Seeds
Nuts
Dried Fruit
Grains
Dried pasta
Dried Egg
Other
What fresh foods (fruits, veggies, table scraps) does your pet eat? (required)

How often are fresh foods fed? (required)

How much fresh foods do you feed? (required)

Do you give a vitamin supplement? (required)

Yes
No


Are vitamins put in the pet’s water? (required)

Yes
No


Does your pet have water available for bathing, and/or do you mist regularly? (required)

Yes
No


When was your pet’s last molt? (required)

Has your pet ever laid an egg? (required)

Yes
No


If Yes, when:

How many eggs:

The eggs...

hatched, produced live young
did not hatch / were not fertile


Was breeding intentional?

Yes, intentional breeding
No, accidental breeding
No breeding possible – bird is housed alone or with other females


Please tell us about any history of behavioral problems (i.e. feather picking, biting, etc.):

Today's Date: (required) :

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