Aviculturists Questionnaire

  1. Have you ever had a Psitticine suffer from a respiratory Problem?
    Yes No

  2. Was the bird treated by:

  3. Diagnosis:

  4. Treatment:

  5. Success Rate:

  6. Species:

  7. Age:

  8. Sex and Type:

  9. In the event of Post Mortem, conclusions:

  10. Any further comments:
All information and comments will be treated with total anonymity. We do not need names or addresses.

Thank you for your help.

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