Pre-Visit Questionnaire

1
Your name (or the name on your booking with us)
2
Your pet's name
3
Please select your location from the list below
ACT & Surrounds
NSW (excluding northern NSW)
QLD (and northern NSW)
SA
VIC
TAS
WA
4
Please select the veterinarian that is coming to assist with your pet's farewell from the list below
Please Select
Please Select
Dr Charlie Webb
Dr Harry Roach
Dr Louise Grey
Dr Taryn Wakefield
Dr Tim White
5
Please select the veterinarian that is coming to assist with your pet's farewell from the list below
Please Select
Please Select
Dr Abby Masters
Dr Ainslie
Dr Adele Lloyd
Dr Alexandra Meier
Dr Aziz
Dr Audrey/Jackie & Brie
Dr Caitlin Stachovski
Dr Claire Fu
Dr Harry Roach
Dr Janessa Lim
Dr Josie Ginty
Dr Kimberley
Dr Laura
Dr Leisa Eagleton
Dr Luke
Dr Melissa Kozaruk
Dr Natalie
Dr Ryan
Dr Taryn Wakefield
6
Please select the veterinarian that is coming to assist with your pet's farewell from the list below
Please Select
Please Select
Dr Audrey Harvey
Dr Bronte Doneman
Dr Carly
Dr Christi
Dr David Kahl
Dr Elnaz
Dr Emma Andrew
Dr Emily Carrico
Dr Gillian
Dr Hannah
Dr Jaanvi
Dr Jenny
Dr Kate Peters
Dr Kate Galloway
Dr Louise Kennedy
Dr Michael O'Donoghue
Dr Rachael Moon
Dr Sandra
Dr Sha Singh
Dr Sharmila Abbott
Dr Stu Cunningham
7
Please select the veterinarian that is coming to assist with your pet's farewell from the list below
Please Select
Please Select
Dr Amy Andrews
Dr Cooper
Dr Edward Gerges
Dr Gregory Wright
Dr Henriette van der Westhuizen
Dr Mac
Dr Rachel
Dr Rimon
Dr Sam Walker
8
Please select the veterinarian that is coming to assist with your pet's farewell from the list below
Please Select
Please Select
Dr Alix Lightfoot
Dr Amos Nichols
Dr Andrew
Dr Antonia
Dr Aoibheann Clarke
Dr Beck Whiting
Dr Carla Wormald
Dr Chad Elbaali
Dr Claire Mann
Dr Cooper Crimmins
Dr Dave
Dr Diarmuid Ryan
Dr Dominic Siu
Dr Essie
Dr Haylee
Dr Jina
Dr Kat Daley
Dr Kate Browne
Dr Kate Thompson
Dr Lauren Davis
Dr Lesley Hawson
Dr Lianne Wright
Dr Lisia Sturm
Dr Melina Wilson
Dr Melissa Closter
Dr Millie
Dr Monica Dickson
Dr Paddy Hannemann
Dr Pat
Dr Penelope Morrison
Dr Pippa Henderson
Dr Samantha Rulli
Dr Sarah Triglia
Dr Sasha Chatto
Dr Sebastian Willitts
Dr Shamin
Dr Sophie Lambton
Dr Steven Yang
Dr Taylah Locastro
Dr Tarley McPadden
Dr Thomas Andrew
9
Please select the veterinarian that is coming to assist with your pet's farewell from the list below
Please Select
Please Select
Dr Amy Firth
Dr Chris
Dr Jared Du Mond
Dr Jo
Dr Kym Tapley
Dr Nick
Dr Shelley Teakle
10
Please indicate the pace at which you would like your pet's farewell to proceed
I would like everything to be over as quickly as possible with a minimum of fuss
I would like for things not to be rushed, but do not need extra time at any stage of the process
I would like things to proceed at a slow pace and may wish to pause at various points through the process to have time alone with my pet
I would like like as much time as possible at each stage of the process to have time alone with my pet
None of these options quite fit (your preferences can be detailed later in the questionnaire)
11
How would you prefer we interact with your pet during our visit?
I would like you to be in contact with my pet as little as possible, so that their focus can be on me/us as a family
I am comfortable for the vet to interact with my pet as much as they like so long as it is not excessive
I would like the vet to make friends and interact with my pet as much as possible. It's very important to me that they bond
None of these options quite fit (your preferences can be detailed later in the questionnaire)
12
How would you prefer we interact with you during our visit?
I would prefer that conversation be kept to only what is necessary for the procedure to allow me to focus as much as possible on being with my pet
I am happy to chat with the vet about my pet's life etc. in addition to conversation about the essential aspects of the process
I am happy to chat throughout the process as much as the vet likes and to keep things light
None of these options quite fit (your preferences can be detailed later in the questionnaire)
13
If we are transferring your pet to our cremation partner for aftercare, is there a favourite blanket or similar you would like them to travel in?
No, if you can please provide something that would be appreciated
I have a blanket or similar that I would like my pet to be transported in
I am burying my pet at home or making my own aftercare arrangements
14
If you have any other special requests or information you would like to share with our vet to make your pet's farewell as perfect as possible for you and for them, please share it below 🤗
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: