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Please
copy this form and submit by fax or
e-mail.
BEHAVIORAL
HISTORY FORM DATED ____________
Guardian
Name:
Address/Phone/E-mail:
Name/Type/Gender/Age
of Bird:
Band
type and number:
Source:
Time
in this Household:
Weight:
Anomalies
or Identifying Characteristics:
Wing
trim:
Did
the bird fledge before its wings were first trimmed?
Did
the bird ever have problems regrowing wing feathers?
Diet
and Eating Habits:
Playing
Habits:
Bathing
Habits:
Vocalizations
Will
s/he take food from any hand? ...and
eat it?
Does
s/he preen in front of anyone?
Does
s/he fluff up when you enter?
...or leave? Wag
tail?
Have
you observed any fearful behaviors, especially relating to
Humans?
Other Animals?
Inanimate Objects?
Towel Restraint?
Preferences
(foods, music, gender, color, etc.)?
Humans
in the home, their ages, heights, and general description:
Other
animals in the home:
Behavioral
Problem:
Please
attach a diagram of the bird’s room including location of cage, high
traffic areas, windows, stairways, heating and air-conditioning ducts,
other birds or animals, television, and usual human eating areas.
Copyright
2001 by Mattie Sue Athan
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