Comfy Critters - Pet Comfort & End of Life Support Request

Pet Comfort & End of Life Support Request
We know this form may feel hard to fill out. Reaching out when your pet is ageing, unwell, changing, or nearing the end of their life can bring up so many feelings. You might feel unsure, overwhelmed, heartbroken, or simply not know what you need yet. Just being here means you are carrying a lot of love.

This form helps us understand your pet’s story, what life looks like for them right now, and what kind of support you may be looking for.

Some families are seeking comfort care or palliative support, while others need help understanding their pet’s quality of life. Others are thinking ahead, making a plan, or preparing for a gentle goodbye at home.

Whatever stage you're at, we're here to meet you there with care, gentleness and clarity.

Once submitted, we’ll be in touch to talk through next steps and guide you toward the most appropriate appointment.

This form usually takes around 10-15 minutes to complete.

Your Details

Let's start with a few contact details so we know how to reach you.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Post Code
Phone Number
Please enter a valid phone number.Format: 0000 000 000.
Email address
example@example.com
What time of day is best for a follow-up call?
What kind of support are you looking for?

About Your Pet

We'd love to know a little more about who your pet is and the life you've shared together.
Pet's name
Species
Dog, cat, etc
Breed
Date of birth or age
Sex
Is your pet desexed?
Approximate weight (kg)
Colours/markings
How long have they been part of your family?

Your Pet's Personality & Comfort
Does your pet show fear, anxiety or stress with visits to the vet clinic?
Does your pet show fear, anxiety or stress with visitors at home?
Are there things that help them feel more relaxed or safe with visitors at home?

How Things Are Going Right Now

This section helps us understand where things are at today.
How would you describe your pet's current health and wellbeing?
Please share what life looks like for your pet at the moment. You might think about their daily comfort, energy, appetite, mobility, mood, sleep, or any changes you’ve noticed. There are no right or wrong answers - this is simply to help us understand your pet’s story as fully as possible.
Many pets don’t show pain in obvious ways. Sometimes it looks more like little changes in comfort or behaviour. Have you noticed anything that makes you wonder if things are harder for your pet now?
Changes in comfort can be easy to miss, as pets often show them in subtle ways rather than obvious signs. You might notice things like slowing down on walks, stiffness, finding it harder to lie down or get up, changes in posture, reluctance with stairs or jumping, restlessness at night, panting when not hot, trembling, hiding, seeming less playful, or just appearing a little unsettled.
How is their appetite and thirst?
For example, are they eating less or more than usual, seeming picky with food, losing interest in treats, drinking more water than normal, or needing encouragement to eat or drink?
How is their mobility?
For example, are they slowing down on walks, finding stairs or jumping more difficult, slipping on floors, limping, stiff when getting up, difficulty with toileting, or tiring more quickly?
Are there any changes in their behaviour or mood you've noticed?
For example, becoming more withdrawn, restless, anxious, clingy, pacing at night, seeming confused, changes in sleep, being less playful, hiding more, or showing signs of irritability.
Are there things your pet used to do easily that have become harder for them, or that they’re no longer able to do?
This might include things like: going for walks, climbing stairs, playing with toys, eating or drinking easily, using the litter box or toilet outside, jumping onto the couch or bed, greeting you at the door, or getting comfortable when resting.
If you have supported a pet through end of life care before, would you feel comfortable sharing a little about that experience?
We'd be grateful to hear anything you'd like to share - the good, the hard, or anything that stayed with you. It helps us understand where you're coming from, and how we can support you with care and sensitivity.

How Can I Support You

This section helps us understand what has brought you here and how we can best support you and your pet.
What prompted you to reach out for support at this time?
Families reach this point for many different reasons. You may be worried about changes in your pet’s comfort, managing symptoms at home, thinking about quality of life, planning ahead, or recognising that the time to say goodbye may be near. Whatever has brought you here, this helps us understand how best to support you.
Do you have a timeframe in mind?
Let us know if you're hoping for a visit soon, within the week, or if you're just starting to think things through. This simply helps us understand your needs so we can do our best to support you at the right time.
What parts of this journey feel hardest or most uncertain right now?
Many people feel uncertain, overwhelmed or frightened when their pet is unwell or changing. You might be worried about pain or discomfort, knowing what changes mean, making decisions too soon or too late, understanding what options are available, or how your family will cope.
When the time comes, what would you hope your pet’s farewell to be like?
For some families, this might mean being at home in a favourite spot, surrounded by loved ones. Others picture soft music, a special blanket, or favourite food and treats. You may want plenty of quiet time, or to include children or other pets.
Will any other family members or friends be present during the visit? If you're comfortable sharing, can you include their names so I can greet everyone by name when I arrive.
Have you thought about what you would like for your pet’s aftercare?
Some families choose cremation, others prefer home burial, and some are not sure yet.

Communication & Support
How did you hear about Comfy Critters Home Vet?

Other
We love thanking the people who share our name. If a friend, family member, or clinic referred you to us, who can we thank?
Is there anything else you would like us to know about your pet, your family or what you're going through right now?
Should be Empty:

Pet Comfort & End of Life Support Request

Your Details

About Your Pet

Your Pet's Personality & Comfort

Medical Background

How Things Are Going Right Now

How Can I Support You

Communication & Support