Bird Rescue Questionnaire

Please enable JavaScript in your browser to complete this form.
Date / Time
Are you the owner of this parrot?
Are you the custodian of this parrot?
Are you using well water at this location?
Sex of parrot
Sex of parrot determined by:
Does this parrot prefer men, women, or children?
Is the parrot hand tame?
Does the parrot prefer right hand or left hand for stepping up?
Does this parrot prefer to step forward or step backward?
Does your parrot have a microchip?
Does your parrot have a leg band number?
Was your parrot used for breeding?
Does your parrot become nippy?
How often do you take your parrot to the vet?
Clinic Address
Has your parrot ever sustained any injuries?
Has your bird ever been treated for any illness or diseases?
Has your bird ever been given any medications?
Has your bird ever been on herbal or other alternative therapies?
Does your bird have any medical/physical conditions that require reoccurring treatment and/or a specialized perch, cage, or play area?
Has your parrot had any behavioral issues currently or in the past?
How do you discipline your parrot?
Does the parrot have any special, obvious identifying marks?
Does the bird's beak require regular trimming?
Has the bird been in a home with other animals?
Does this parrot have strong dislikes?
Does this parrot mimic, talk, or know any words?
Does your parrot sing songs?
Does your parrot like music?
Does the parrot like television?
What types of programs do you or the parrot watch?
What kind of toys does your parrot like?
Has the parrot lived in a household with smokers?
Do you burn candles in the house?
Has the parrot been outside the home on overnight trips?
Does your parrot get car sick?
How does the parrot react to outsiders?
Does your parrot like baths?
How do you bathe your parrot?
How often does your parrot bathe?
Will your parrot stay on a perch or cage top if left alone?
Do you need a padlock or link for your parrot's cage?
Will the parrot come out of the cage on your hand?
Does your parrot know the step up command?
What time does your parrot wake up?
What time does your parrot go to bed?
Do you cover the cage at night:
Can you donate the parrot's security blanket?
The the cage area, how was the traffic flow?
In the cage area, were there other animals roaming free?
How many hours per day is your parrot left alone?
Is your parrot allowed to freely roam when outside the cage?
Is your parrot supervised when outside the cage?
Has your parrot ever bonded with another parrot or animal?
Is your parrot stick trained?
Is your parrot afraid of a training stick?
Does your parrot pluck or overpreen?
Is your parrot used to being toweled?
Has your parrot been allowed on shoulders?
Do you know who your parrot's prior owners were?
Would you like to be in contact with the new adopter?
Click or drag a file to this area to upload.
Click or drag a file to this area to upload.
Click or drag files to this area to upload. You can upload up to 5 files.
Click or drag files to this area to upload. You can upload up to 5 files.
I/we understand that the placement of our parrot is a serious matter.
I/ we understand that there is a suggested donation contribution requested for relinquishment into this program. The donation contributions are determined by several factors depending upon the needs of various sizes of parrot. This will ensure the quality care that a relinquished parrot requires. Some parrots take years to find their new vetted forever homes. Please review and check the appropriate box for the size of parrot below. * We will call you within 24 hours of receipt of your form.
I/we understand that there is an suggested relinquishment donation for all placements. Please check the appropriate box for your size of parrot:
Your contribution is a tax deductible donation.