Nest Box Survey

Please let us know your nesting results, even if you did not fledge any bluebirds. You do NOT have to be a NYSBS member to send us your results. Just fill in your info below and click on the “Submit” button. If this form does not work for you, please send your results by email to . or print this form out and mail it to: Deb Wines, 4429 McCloy Road, Cortland, NY 13045. The nest box survey form is also available in PDF format here.

This form is for nesting results only and must be submitted between June 1 and November 1, 2016 to be included in the annual summary and individual listing.

For other questions or comments not related to the nest box survey, please contact us by email at .

If nest boxes are maintained in more than one county, please submit one survey for each county.


New York State Bluebird Society Incorporated

NYSBS NY Resident Nest Box Survey Form 2017

Fields marked with an * are required. 

Your name:*
Trail: (If you are reporting your own trail, please leave value at "My Own". Only volunteers who are monitoring our Society-sponsored trails should select a different value.)*
Phone (required in case we need to contact you for clarification)*
E-mail (to receive confirmation of submission)

Based on your experience this season, please respond to the following questions:

1) Number of nest boxes monitored:*
2) Date first bluebird egg laid (if known):
3) Number of bluebirds fledged:*

4) List other species that nested in these next boxes/number of fledglings.

Species                     Number of Fledglings

Tree Swallow
Black Capped Chickadee
House Wren
Fledglings of other species
Specify other species
5) Do you have purple martin houses?*
6) Do you have kestrels*
7) Please describe an interesting experience during this season we could share in the Bluebird News:
8) If you have any questions about bluebirds, please write it below and watch future issues of the Bluebird News for an answer.
9) Would you like to become more involved in the New York State Bluebird Society mission to promote and preserve bluebirds?
Word Verification: