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- Sex*
- Sex determined by*
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- Origin*
- From where did you obtain this animal?*
- Is your animal vaccinated?*
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- Does this animal have any history of breeding or laying eggs?*
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- Does your bird get their wings trimmed?*
- Do you have any other pets in the household?*
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- When you acquire a new animal(s), are they quarantined before being introduced to the other animal(s)?*
- Has your bird had any contact with any other birds outside your household within the past 30 days?*
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- Where is the cage/enclosure located?*
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- Is your bird supervised when out of the cage?
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- Do you have a grate separating your bird from dropped food or feces?*
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- What is the cage/enclosure made of?*
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- How often is the cage/enclosure cleaned?*
- How often is the cage/enclosure lining or flooring cleaned?*
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- Does your bird have regular exposure to direct sunlight (not through glass or plastic)?*
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- Is your bird exposed to full spectrum (UVA and UVB) lighting?*
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- Do you cover your bird's cage at night?*
- Does anyone in the house smoke or is the animal around smoke?*
- Does your bird have a separate sleeping cage/location?*
- Do you use non-stick cookware?*
- Do you use an air purifier in the home?*
- Do you use aerosolized substances/cleaners/air fresheners or any other scented products?*
- Have there been any changes in the environment in the last 3 months?*
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- Do you provide an additional source of calcium?*
- How is water offered?*
- How is type of water is offered?*
- Have you noticed any changes or have any concerns about your bird's feeding or drinking behavior?*
- Have you noticed any changes or have any concerns about your bird's droppings?*
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- Have you noticed any signs, symptoms, or changes in behavior?*
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- Does this animal have any previous medical or health problems?*
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- Have any other animals or persons in the household had any illness within the past 30 days?*
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- Has your bird received any treatments/medications in the last 30 days?*
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- Should be Empty: