Name
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First Name
Last Name
Subject
Email Address
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Phone
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Please enter your primary phone number.
(###)
###
####
Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Please note our location in DEL MAR, CALIFORNIA. Do you understand that in order to be considered as a potential adopter, you will be required to visit our facility multiple times?
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Yes
No
Previous Bird Experience
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Please select all that apply.
I have never owned a companion parrot before.
I have owned non-psittacine avians (finches, canaries, doves).
I have owned "extra-small" companion parrots (budgies, cockatiels).
I have owned "small' companion parrots (conures, lovebirds, parrotlets, Senegals, caiques).
I have owned "medium" companion parrots (amazons, African greys, Eclectus, small cockatoos, small macaws).
I have owned "large" companion parrots (macaws, large cockatoos).
Your Age
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Please select your own age.
Under 18 (NOT eligible to adopt)
18-25
25-35
35-50
50-65
65-80
80+
The rest of your "flock"
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Please select the following as they apply to you and your household. Who else resides in your home?
Roomate(s)
Girlfriend / Boyfriend
Spouse / Domestic Partner
Young children (ages 0-11)
Teenager(s) (ages 12-18)
Young adult(s) (18-25)
Parent(s)
Bird(s)
Reptile(s)
Dog(s)
Cat(s)
Small mammal(s)
Other
None of the Above
Tell us more...
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Please tell us more about the humans and other animals an adopted bird would share their home with.
Are you aware that parrots do not typically make convenient "family" companions?
Parrots are highly selective about forming bonds. It is common for them to develop an extreme preference for one person in the home. Without diligent and repetitive training, this can often lead to displays of aggression and/or general intolerance of other family members.
Yes
No
If you currently have birds... How many, what species, and how long have you had them?
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If not applicable, please indicate N/A.
If you currently have birds, do you have a separate quarantine area for new birds (a separate room with a door that can be shut)?
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Yes
No
N/A
Do you intend to breed an adopted bird?
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Yes
No
Are you aware that even a small altercation with or single bite from another animal in the home, especially a cat or a dog, can easily result in a bird's death?
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Yes
No
If you have dogs, cats, or other natural predators living in your home, how do you plan to keep an adopted bird safe in their company?
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If not applicable, please indicate N/A.
Are all individuals in your home interested in providing care for and/or establishing a relationship with an adopted bird?
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Yes
No
Does anyone in your home have allergies that could be a problem?
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Note, all parrots produce dander or "feather dust," but some species are "dustier" than others.
Yes
No
Who would be primarily responsible for an adopted bird’s care?
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Who would care for an adopted bird when you and/or your family are away or otherwise unable?
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Your Residence
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Please select the following as they apply to your residence.
Own
Rent
Apartment
Condo
House
Other
Are you aware that parrots are naturally loud animals?
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Normal "happy" parrot vocalizations, even in smaller species, commonly reach over 100 decibels. For perspective, an average human shouting reaches 88 decibels.
Yes
No
If you are renting, are you prepared to submit a written authorization from your landlord to own a parrot, along with a phone number where he/she can be reached?
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Yes
No
Where would a new bird live in your home?
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Describe your ideal daily routine with a companion parrot.
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When and how would they interact with you or other household members? When would they be alone? What would they be expected to be doing when they're not being handled? When would their bedtime be? How much sleep would they get?
Approximately how many hours a day would an adopted bird be left alone in your home?
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Are you aware that companion birds should receive a minimum of 10-12 hours of dark, uninterrupted sleep every night?
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Yes
No
Where would an adopted bird sleep in your home, and how would you ensure that they received adequate sleep every night?
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How would an adopted bird receive regular exercise and enrichment in your home?
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Are you prepared to "bird-proof" your home?
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Parrots are extremely sensitive to and can die from exposure to environmental poisons and toxins, including, but not limited to the following: heated PTFE (ie Teflon) and other non-stick coated surfaces, cheap metals (zinc, lead, etc.), smoke (cigarette, candles, incense, fire, etc.), fumes from cleaning products and other aerosolized agents (hairspray, perfume, etc), certain foods and drinks (fruit pits, apple seeds, chocolate, avocado, garlic, onion, salt, caffeine, alcohol), and a wide variety of plants.
Yes
No
Would you be able to provide a smoke-free environment for an adopted bird?
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Yes
No
Would you allow an inspection (either physical, or virtual), of your home prior to adoption?
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Yes
No
Tell us about your willingness to work with the following needs, behaviors and personalities...
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Please rate your willingness to handle the following in an adopted companion parrot. "Strongly Agree" indicates a full willingness to work with that behavior/personality type, "Strongly Disagree" indicates a refusal to work with that behavior/personality type.
Quiet / Shy
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Nervous
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Energetic
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Stubborn
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Loud vocalizations and/or screaming
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Cage-aggressive and/or territorial
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Destructive chewing
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Doesn't speak
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Doesn't like to be pet/snuggled
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Doesn't like a member of your household
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Feather plucking or other self-destructive habits
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Special dietary needs
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Special medical needs or physical handicap
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
If an adopted bird developed an undesired habit, what would you do?
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Are you willing to participate in an on-site Parrot Care & Enrichment 101 Class?
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Yes
No
Are you aware that avian veterinarian care, from regular wellness checks to emergency treatment, is expensive?
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Yes
No
Where do you see yourself and an adopted bird in 10 years?
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What do you expect from a companion parrot?
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What can a companion parrot expect from you?
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Are you willing to commit to post-placement follow-up's with Free Flight staff in the event that you adopt a bird?
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Yes
No
Additional Information
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Please include any other relevant information as it may pertain to your ability to care for an adopted parrot.