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Questionnaire

Avian Profile Questionnarie

  1. What are the symptoms and how long has it been going on?
  2. Are there any other pets in the household?
  3. If yes, are they ill?
  4. Are other family members ill?
  5. What exposure if any does the bird have to other birds?
  6. Has the bird ever had any other medical problems in the past?
  7. Has the bird ever been on any medications? If so what type and how long?
  8. Where was the bird obtained?
  9. When was the bird first introduced to the home?
  10. Did the bird come with a health guarantee?
  11. Where is the bird kept in the house?
  12. What kind of substrate (materials to used to catch feces) in the enclosure.
  13. Is the home heating system electric or gas
  14. What is the temperature in the home?
  15. What houseplants does the bird have access to?
  16. Is the bird frequently exposed to fresh air and sunlight?
  17. Is the photoperiod natural and regulated, or random and irregular?
  18. Have you ever used exterminators in your house?
  19. Is the bird exposed to cigarette smoke?
  20. What potential aerosols is the bird exposed to (household chemicals, disinfectants, hair sprays)?
  21. What disinfectants are used in the enclosure and how often?
  22. Have any changes recently occurred in the home (new enclosure, different diet, painted house, changed carpet, new pets or strange people in the house, moved the bird to a new location the house)?
  23. What types of foods are offered?
  24. What types of foods are consumed?
  25. What feeding schedule is used?
  26. Are any dietary supplements used?
  27. Is the appetite increased or decreased?
  28. Have the droppings changed in color, frequency, consistency, or quantity?
  29. Has the water intake changed?
  30. Does the bird use a water bottle or water bowl?
  31. Any coughing, sneezing, diarrhea, or vomiting?
  32. Have noted changes remained the same or progressed?
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