This form MUST be printed, filled out, signed and mailed to the above address. No donor questionnaires will be accepted via e-mail.

Fine Feathered Friends Sanctuary, Inc. Donated Bird Questionnaire

Name___________________Species___________________Sex______________

Age_________How long have you owned this bird?_________________________

It this bird tame? Y N Does he/she step up on your finger? Y N

Does this bird come out of his/her cage? Y N If yes, how often and for how

long?______________________________________________________________

If not, why?_________________________________________________________

Does this bird bite? Y N If yes, does he/she draw blood? ____________________

What triggers the biting?_______________________________________________

What have you been feeding this bird?____________________________________

What is his/her favorite food?___________________________________________

What is his/her least favorite food?_______________________________________

Does this bird have any current health problems? Y N If yes, please check all that apply
Sleeping a lot
Vomiting
Runny droppings
Sneezing
Over grown beak
Plucking
Other (please specify)_________________________________________

Has this bird ever been seen by an avian vet? Y N If yes, whom (please give name,
address and phone number)?_____________________________________________

What name would his/her medical records be under?___________________________

When was his/her last vet visit? ___________________________________________

Do you keep this bird’s wings clipped? Y N If yes, how clips his/her wings?________

Do you cover his/her cage at night? Y N

Does anything scare him/her? Y N If yes, what?_____________________________

Is this bird used to being around other animals? Y N If yes, what kind?___________

Anything else you think we need to know about this bird:________________________

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