Feather Picking and Plucking Questionnaire Feather Picking and Plucking Questionnaire Owner's Name * Owner's Name First First Last Last Email * Date * Pet's Name * Age/Hatch Date * Breed * Sex * How was your bird sexed? * Blood test Surgically (endoscopy) Visually If female, has she ever laid eggs? Yes No When was the last time she laid eggs Where did you get your bird? * How was your bird raised? * Hand raised Parent raised Wild caught Unknown What was your bird’s age when you acquired them? * How many previous owners has your bird had? * Has your bird been seen by a veterinarian before? * Yes No If yes, what clinic/hospital? Has your bird been on treatments/medications for FDB previously? * Yes No If yes, which medications? Do you feel they have worked? * Yes No Is your bird * Fully flighted Wings are clipped Is your bird housed with other bird(s)? * No Yes, same room Yes, same cage If yes, what breed, sex, and age are the other birds? How often, and in what way, do you bathe your bird? How do you dry your bird after a bath? Does anyone in the house smoke cigarettes? Yes No If yes, do you/they smoke around the bird? Yes No Does your bird vocalize when picking or plucking? Yes No Describe the bird’s cage dimensions What is the location of the cage in the house? Where does it spend most of its time? Where do family members spend their time? Describe all the contents of the cage (perches/toys/food bowls) How often are toys changed or rotated out? How many hours a day does your bird spend in the cage? How many hours does your bird spend alone? What stimuli (sights, sounds, etc.) are available to your bird when alone? What type of lighting is around the cage? Light intensity is Bright Moderate Dim Does your bird have access to Ultraviolet B lighting Yes No If yes, what is the source? Outdoor/unfiltered sun exposure UVB bulb When do the lights come on in the morning? When are they turned off? How many hours of sleep do you think your bird gets every night? Is your bird covered at night? Yes No Describe your bird’s diet in detail. List the brand names of the pellets/seeds. Give percentages of food eaten. What is your bird’s feeding schedule? Please list their favorite treats Who primarily takes care of your bird? Who spends the most time with the bird? Who is the bird’s favorite? Your bird will step up Easily Hesitantly Never Is your bird allowed on your shoulder? Yes No Does your bird play? Yes No Describe play behavior Is your bird afraid of towels? Yes No How does your bird handle restraint? Does your bird talk? Yes No Approximate vocabulary less than 10 words 10-20 words more than 20 words Does your bird like to be touched/petted? Yes No If yes, where does your bird like to be touched? List and describe behavior issues that you would like addressed How long has your bird been showing the behavior? How do you react to these unwanted behaviors? Do you notice a certain activity/stimulus that may prompt the picking/plucking? How does your bird act when picking/plucking? Like it hurts Like it itches Doesn’t seem bothered Have there been any changes in the household? (furniture, new pets, paint, etc.) Do you use any supplements or vitamins? Yes No If yes, what brand and how often? Has your bird been diagnosed with a previous medical illness? List problems and dates Captcha Submit If you are human, leave this field blank.
