Avian History Questionnaire Name* First Last Primary Problem* What Food is the bird offered?* What Food does the bird actually eat?* What type of cage does the bird live in?* What type of toys does the bird have?* How much of the day is the bird out of the cage?* How long have you had the bird?* Do you have any other birds?* Does the bird, or has the bird ever lived with other birds?* Does the bird ever go on holiday and stay with another bird?* How did you come to own the bird?* Breed* Age* Sex* Has the bird ever had any virus tests?* Yes No if so what? Have you noticed the bird plucking feathers?* Yes No if so, for how long? . How old was the bird when and if it started plucking feathers?* What month of the year did the plucking start?* Has the bird picked in the past and started re-picking, i.e., is it a seasonal plucker?* Is there any seasonal link with molting or sexual behavior?* Does the bird pick when you are present, absent, or both?* Do you see the bird plucking?* How do you react to the bird if you see it plucking?* If the bird plucks when you are present, how does he react? It is itchy?* Does he scream or vocalize?* Does he interrupt his favorite behavior to pluck?* Is there a certain time of day when he plucks?* Does the bird entertain himself, i.e. playing with toys?* How would you describe your bird: relaxed, anxious, playful, fearful, aggressive, loving, demanding?* NameThis field is for validation purposes and should be left unchanged.