Feather Picking Questionnaire

Please answer all the following questions as best you can. Be very specific. Fax or email the answers to us at least 2 days before your feather picking consultation (Fax: 416-223-1560; e-mail (title it “Feather picking questions”): [email protected])

Note: Please contact us to book your behaviour consultation. The consultation will be a one-hour visit and a credit card number will be required to reserve the time for this visit. If you are not able to make this visit once it is booked, please call to reschedule AT LEAST 48 HOURS BEFORE THE SCHEDULED APPOINTMENT. Any cancellations within 48 hours or any missed or no shows will result in the full amount of the visit being charged to your credit card.
SUBMISSION OF THIS FORM WILL BE CONSIDERED AN ACKNOWLEDGEMENT AND CONSENT TO CHARGES BEING APPLIED TO YOUR CREDIT CARD IN THE EVENT YOUR APPOINTMENT IS MISSED OR NOT RESCHEDULED WITHIN THE GUIDELINES SPECIFIED ABOVE.
Name*
First Last
Your Bird's Name*
Email
Date*
Date Format: MM slash DD slash YYYY
Was your bird:*
- hand raised (raised by people)
- hen raised (raised by it’s mother)
Describe your bird’s personality (ie, skittish, outgoing, cautious, moody, etc.)? Be specific.*
Describe the bird’s cage (dimensions, type and number of perches, number and size of bowls, number of toys, etc.)*
In what room in the house is the bird’s cage?*
Where in the room is the cage/what is it near (window, vent, television, etc.)*
Describe “a typical day in the life” of your bird.*
Has anything in the household changed around the time you first noticed the bird picking his feathers? If yes, describe.*
Is the bird around people all day? If not, approximately how much of the day is the bird left unsupervised?*
Do you witness your bird picking at its feathers? Describe what you see? Be specific.*
Do you do anything to try to stop the bird from picking when you witness it picking? Explain.*
Has your bird had or been diagnosed with any previous medical problems? If yes, please list them.*
What are you feeding the bird (be specific, including amounts)?*
Has the bird always been on this diet? If not, what was its previous diet and how long has it been on both the old and new diets?*
What time do you put your bird to sleep?*
What time do you wake your bird up?*
Do you cover the bird’s cage when you put them to sleep?*
- No
- Yes
Is the room completely dark when your bird sleeps? If not, what is the source of light?*
How often do you bath your bird? Is anything other then water used to bath bird?*
How does your bird bathe (misted with bottle, in bowl, etc)?*
Does your bird play with toys?*
- Yes
- No
What kind of toys do you offer bird (describe them)?*
Which of the offered toys does bird actually play with?*
Are all the toys available at all times?*
- Yes
- No
Does the bird have a designated “play” area outside the cage? If yes, describe it?*
Is this the only bird in the house? If no, how many others and what species are they?*
Does the bird have cage mates? If so, how do they interact with each other (be specific)?*
Are there any other species of animal in the house? What are they? Is there interaction between the bird and these other pets? If so, describe the interaction (be specific).*
How many people live with the bird? Do all interact with the bird?*
Describe the level of interaction with the bird for all people in the household? Be very specific (ie. cuddles against my chest while I pet his back while I watch TV in the evenings, etc).*
Does your bird act differently towards any specific members in the household? Describe.*
Does your bird know “step-up” and “step-down”? Does it know any other “tricks”?*
Does the bird like to “hide” under, behind or inside objects, such as boxes, bookshelves, furniture, “happy-huts”, etc?*
Have you noticed any behavior or attitude changes in the bird since the picking has started? If yes, please describe.*
Thank you for taking the time to answer all of the questions. Feel free to bring a copy of these answers with you to the behaviour consultation visit. The consultation will not take place if these questions have not been answered and returned to us at least 48 hours ahead of time. Ideally, all members of the household who have any interaction with the bird should be present for the consultation visit. Your bird does not need to be present for that visit. If you have any further comments not covered in this questionnaire, you can list them in the below section.
Note: Please contact us to book your behaviour consultation. The consultation will be a one-hour visit and a credit card number will be required to reserve the time for this visit. If you are not able to make this visit once it is booked, please call to reschedule AT LEAST 48 HOURS BEFORE THE SCHEDULED APPOINTMENT. Any cancellations within 48 hours or any missed or no shows will result in the full amount of the visit being charged to your credit card.
SUBMISSION OF THIS FORM WILL BE CONSIDERED AN ACKNOWLEDGEMENT AND CONSENT TO CHARGES BEING APPLIED TO YOUR CREDIT CARD IN THE EVENT YOUR APPOINTMENT IS MISSED OR NOT RESCHEDULED WITHIN THE GUIDELINES SPECIFIED ABOVE.

Monday	9:00am – 7:00pm
Tuesday	9:00am – 7:00pm
Wednesday	9:00am – 7:00pm
Thursday	9:00am – 7:00pm
Friday	9:00am – 7:00pm
Saturday	9:00am – 2:00pm
Sunday	Closed

Contact Us

Ph: 416-223-1165

Feather Picking Questionnaire

Feather Picking Questionnaire

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Feather Picking Questionnaire

Feather Picking Questionnaire

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