Bird Feather Picking Questionnaire

What is your birds name?  

What is Your Name?  

How long have you owned this bird?

Under 6 months
6months to 2 years
3-7years
7 or more years

What type of bird is it?  (amazon/african/grey/parakeet, etc...)

Do you know how old your bird is?

Unknown Under 6 months old 6 months to 1 yr 1-3 yrs 4-7 yrs 7-15 yrs Over 15yrs

Where does your bird live? (Check all that apply)

Indoors   Outdoors   Covered Patio/Porch

How long has your bird been losing feathers?

What season did it begin?

Spring    Summer    Fall    Winter

Has your bird ever been treated or tested for feather loss before?

Yes    No

If so, explain:

Are there any other illnesses or health conditions or recent injuries?

Yes    No   

When was your bird's last molt?

Are the wings clipped to prevent flight?

Yes            No

What is your bird's diet? (please be specific)

If indoor, which room(s) does your bird spend its time in?

Your bird spends most of its time :

In cage        Out of cage         Never in cage

Is your bird exposed to direct sunlight? 

Yes             No                                       

If so, how often?

1x/week       2-3x/week           daily

Most of the time, the bird is...   (Select all that apply)

 Alone during the day

 Alone during the day with TV or Music on

 With Another Bird or Birds in same room, but lives in Own Cage

 With Another Bird in Same Cage

 Other birds are in the house, but not in same room

How often do you bathe or mist your bird?

once a week        2-3 times/week        daily        never

What type of cage bottom/bedding do you use?

(Check all that apply)

Newspaper     CornCob   Gravel    Other (specify)

How often is the cage bottom cleaned?

once a week        2-3 times/week        daily

How often are bowls removed and washed?

once a week        2-3 times/week        daily      

What kind of toys are in the cage?

What time does your bird "get up" in the morning?

What time "to bed" ?    

Does your bird "tap dance" or scratch feet in addition to picking feathers?

Yes             No    

Does feather picking occur when you are 

home          away          all the time

Does your bird make noises while picking feathers?

Yes             No    

Does anyone in your household smoke?

Yes             No    

Thank you for taking the time to answer these important questions.  This form will be submitted to our hospital and reviewed by one of our veterinarians.  Recommendations may be made to further explore your birds reason for feather picking.  Your observations as a bird owner are key to finding a solution for your pet.  Please leave your information so we can contact you.

I would like a reply via Email :

I would like to be contacted at this phone number