Phoenix Landing Parrot Relinquishment Questionnaire
Please tell us as much as you can about this parrot, to help his/her transition to a new home.
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Email *
Contact Information:
First Name:
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Last Name:
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Street Address:
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City:
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State:
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Zip Code:
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Best Phone Number (home and/or cell)
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Email Address:
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Parrot Information:
Parrot's Name:
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Species (and subspecies if known):
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Color:
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Age:
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Sex:
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How was he/she medically sexed?
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Band/Microchip Number:
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Where did you obtain this parrot?
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Date you obtained parrot:
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How old was the parrot when you obtained it?
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What do you know about prior homes (type of home, who was the guardian, behavior, diet, etc.)
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Why is this parrot being relinquished?
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Health and Diet
Your parrot's vet:
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Date of most recent visit to vet:
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Reason for visit to vet:
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Has the parrot ever had a disease or problem? Explain:
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Are you able to provide us with the parrot's vet records upon request, or to give your vet approval to release them to us?
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Has your bird been tested for diseases (chlamydia etc.)?
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Has your bird ever been ill? Have physical deformities or special needs?
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Does the parrot eat fresh vegetables and fruit?
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If yes, what percent of diet is fresh vegetables and fruit?
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What are the favorite foods?
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Does the parrot eat pellets?
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If yes, what percent of diet is pellets?
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Pellet brand name:
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Does the parrot eat seed?
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If yes, what percent of diet is seed?
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Seed brand name:
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What other foods?
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Behavior and Habits
Does this parrot use a water bowl or bottle?
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How does your parrot bathe? (Shower with a human, mister, water bowl, separate bowl, faucet running, with vacuum going etc)
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What is the parrot's feeding schedule?
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Are the wing feathers allowed to grow or are they clipped?
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Does the parrot fly? Where?
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We assume the parrot is coming with his/her house and playthings (cage and toys).
What size is the cage size. We especially need to know the WIDTH (width, depth, height)? What is its condition?
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Does your bird have a travel carrier? (Wire with cotton perch, preferred if possible)
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Do you still have other parrots in the house?
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Has this parrot ever laid an egg?
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Do you allow the parrot to bite you? Describe.
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Describe your birds noise level:
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Does this parrot feather pick or have feather issues? Describe.
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Does this parrot talk? Describe.
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What are his/her favorite toys?
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What are his/her favorite routines?
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Other information that would be helpful in finding the right home for this bird such as: what he/she loves to do, how much time does he/she spend in a family area or alone, and any other information.
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Can you help with transport? How far are you willing to go (hours or miles)?
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To help us find the best possible new home, photos of your bird and its cage would be helpful.
How did you hear about us?
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Please don't include written documents or records with the birds' things or give to transporter.  Please email or mail those to PO Box 459, Alexander NC 28701
Of course, we appreciate tax deductible financial contributions which help us with veterniary costs etc. Thanks!
Signature:
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