Please submit (electronically) this form at 6-12 months after purchase of your bird from Companion Bird Source or whenever you want to inform Companion Bird Source of comments.
This form must not be used if you purchased your bird from anyone other than a CBS member.
Today's Date:
Purchaser Name:
Address: (Street)
(City, State, Zip)
E-mail:
Telephone: FAX:
Date Bird Purchased
Bird Species I.D. #
Purchased from: Select Aviary: Birds 2 Pet Desborough's Birds Judy Kiefer-Meyer Pampered Parrots The Bird Shop Bird Patch Aviary Your Basic Birds Twin Willows Feathered Folies The Pet Factory Focus Farm Webe Birds None of these (Name of Companion Bird Source Breeder or Retail Store) Is your bird intended to be a companion? Yes No Do you still have your bird? If no, please specify reason: If yes, please rate the following from 1(worst) to 5(best). Check the appropriate box. Satisfaction with bird purchase? 1 2 3 4 5 Bird Health? 1 2 3 4 5 Bird Socialization (tameness)? 1 2 3 4 5 Evaluation of dealings with CBS member (were problems rectified?). 1 2 3 4 5 Additional Comments:
(Name of Companion Bird Source Breeder or Retail Store)
Is your bird intended to be a companion?
Yes No
Do you still have your bird?
If no, please specify reason:
If yes, please rate the following from 1(worst) to 5(best). Check the appropriate box.
Satisfaction with bird purchase?
1 2 3 4 5
Bird Health?
Bird Socialization (tameness)?
Evaluation of dealings with CBS member (were problems rectified?).
Additional Comments:
