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?*YesNoif so what?Have you noticed the bird plucking feathers?*YesNoif 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?*EmailThis field is for validation purposes and should be left unchanged.