Bird Personality Profile

Bird Personality Profile

Please take the time to answer the following questions completely and honestly. This form enables us to know more about your pet so that we may place him/her in the best possible home.
Today's date

MonthDayYear
Date
Owner's name*

First NameLast Name
Owner's email*
example@example.com
Bird's name*
Age/Date of birth*
estimate, if unknown
Breed*
Color*
Distinguishing marks
Gender*

MaleFemale
If this bird is female, has she been exposed to a male bird within the last two months ?

YesNo
Name and location of Veterinarian*
Veterinarian phone#*
Why are you surrendering this bird to this shelter ?*
Where did you get this bird ?*

Pet storeBreederShelterOther
If from a shelter, what shelter?
How long have you owned this bird?
Has this bird ever bitten and broken skin ?*

YesNo
If yes, why ?
What would provoke this bird to bite?
Has this bird lived with children ?*

YesNo
What ages?
How did this bird react to the children in the home ?

FriendlyAffectionatePlayfulShyNervousScaredTolerantAggressive
Animals bird has lived with*

NoneDogsCatsOther birds
How many other birds ?
Did they live in the same cage ?

YesNo
How did this bird react to other animals in the home ?*

FriendlyPlayfulShyNervousScaredTolerantAggressiveN/A
Does this bird get along with:*

DogsCatsOther birdsChildrenTeenagersMenWomen
How does this bird react to being petted ?*

GoodToleratesNervousAggressive
Being bathed ?*

GoodToleratesNervousAggressive
Being picked up ?*

GoodToleratesNervousAggressiveStruggles to get down
Handled by strangers ?*

GoodToleratesNervousAggressive
Cage cleaning ?*

GoodToleratesNervousAggressive
Being removed from cage ?*

GoodToleratesNervousAggressive
What parts of this bird's body are sensitive to touch ?*

FeetTailBellyHeadBackNone
Are this bird's wings clipped ?*

YesNo
Does this bird have any special medical problems/conditions ?*

YesNo
If YES, please describe any conditions or medications
If this bird is on medications, how does s/he react to taking them ?
What type of food does this bird eat ?*
How many times a day is this bird fed ?*
What time(s) of day is this bird fed?*
What type of treats does this bird enjoy ?*
Other food given:
Is this bird hand tamed ?*

YesNo
Where is this bird housed ?*

IndoorsGarageBasementBarn
This bird is housed in a:*

CageOwn roomOther
Does this bird live in a cage with little exercise ?*

YesNo
Does this bird have any time out of the cage ?*

YesNo
Explain
What are this bird's favorite toys/games/activities?*
How would you describe this bird most of the time? (check all that apply)*

FriendlyAffectionateSocialPlayfulLikes to be heldAdventurousVery activeConfidentQuietShyScaredNervousAggressive
Is this bird afraid of ? (check all that apply)*

Loud noiseThunderVacuumDogsCatsOther animalsVetCageChildrenMenWomenStrangersOther
Please write one or two sentences describing your bird
Please upload ONE photo of your bird*

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By signing, I certify all information is true and correct to the best of my knowledge*

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