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
-
Month
-
Day
Year
Date
Owner's name
*
First Name
Last Name
Owner's email
*
example@example.com
Bird's name
*
Age/Date of birth
*
estimate, if unknown
Breed
*
Color
*
Distinguishing marks
Gender
*
Male
Female
If this bird is female, has she been exposed to a male bird within the last two months ?
Yes
No
Name and location of Veterinarian
*
Veterinarian phone#
*
Format: (000) 000-0000.
Why are you surrendering this bird to this shelter ?
*
Where did you get this bird ?
*
Pet store
Breeder
Shelter
Other
If from a shelter, what shelter?
How long have you owned this bird?
Has this bird ever bitten and broken skin ?
*
Yes
No
If yes, why ?
What would provoke this bird to bite?
Has this bird lived with children ?
*
Yes
No
What ages?
How did this bird react to the children in the home ?
Friendly
Affectionate
Playful
Shy
Nervous
Scared
Tolerant
Aggressive
Animals bird has lived with
*
None
Dogs
Cats
Other birds
How many other birds ?
Did they live in the same cage ?
Yes
No
How did this bird react to other animals in the home ?
*
Friendly
Playful
Shy
Nervous
Scared
Tolerant
Aggressive
N/A
Does this bird get along with:
*
Dogs
Cats
Other birds
Children
Teenagers
Men
Women
How does this bird react to being petted ?
*
Good
Tolerates
Nervous
Aggressive
Being bathed ?
*
Good
Tolerates
Nervous
Aggressive
Being picked up ?
*
Good
Tolerates
Nervous
Aggressive
Struggles to get down
Handled by strangers ?
*
Good
Tolerates
Nervous
Aggressive
Cage cleaning ?
*
Good
Tolerates
Nervous
Aggressive
Being removed from cage ?
*
Good
Tolerates
Nervous
Aggressive
What parts of this bird's body are sensitive to touch ?
*
Feet
Tail
Belly
Head
Back
None
Are this bird's wings clipped ?
*
Yes
No
Does this bird have any special medical problems/conditions ?
*
Yes
No
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 ?
*
Yes
No
Where is this bird housed ?
*
Indoors
Garage
Basement
Barn
This bird is housed in a:
*
Cage
Own room
Other
Does this bird live in a cage with little exercise ?
*
Yes
No
Does this bird have any time out of the cage ?
*
Yes
No
Explain
What are this bird's favorite toys/games/activities?
*
How would you describe this bird most of the time? (check all that apply)
*
Friendly
Affectionate
Social
Playful
Likes to be held
Adventurous
Very active
Confident
Quiet
Shy
Scared
Nervous
Aggressive
Is this bird afraid of ? (check all that apply)
*
Loud noise
Thunder
Vacuum
Dogs
Cats
Other animals
Vet
Cage
Children
Men
Women
Strangers
Other
Please write one or two sentences describing your bird
Please upload ONE photo of your bird
*
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*
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