‌

Canine Bereavement and End of Life

Page 1

*
Question 1.

This questionnaire has been designed to help us better understand your views on Pet Bereavement and End of Life care. We welcome opinions from pet owners of dogs currently alive, as well as those who have passed, but ask that owners whose dogs have passed already to answer based on their views prior to their dog(s) death. If you are a multi-dog household, please answer based on one of your dogs.

Is your dog:

- Required.
*
Question 2.

And are you:

- Required.
*
Question 3.

What age are you?

- Required.
*
Question 4.

Are you the main care giver for your dog(s)?

- Required.
This is required
*
Question 5.

How old is/was your dog?

- Required.
My dog is
*
Question 6.

Did/is your dog suffering from, or are suspected of suffering from any of the following health conditions?

- Required.
My dog has
This is required
*
Question 7.

Thank you. When thinking about the term "End of Life", what does this mean to you?

- Required.
This is required
*
Question 8.

Thinking about your life with your dog, please grade the below based on how they reflect your lives.

- Required.
My dog will get all medication(s) and therapies he needs
I spend time reading articles and books to improve my role as a dog owner
My dog is a much loved pet but my family have to come first.
My dog is the most important member of the household
My dog deserves the absolute best I can within my means
My dog will be put to sleep if I cannot afford to look after him
My dog will be put to sleep if he is diagnosed with any health condition
My dog will be put to sleep if he is suffering with no sign of improvement or treatment available
I would prefer for my dog to pass away naturally
*
Question 9.

Do you suffer with Anticipatory Grief?
(Anticipatory grief is any feeling of grief occurring before an impending loss)

- Required.
*
Question 10.

Have you ever discussed End of Life plans with your Vet or Veterinary Nurse?

- Required.
This is required
*
Question 11.

Have you ever discussed your dog's End of Life with any of the following (please select all that apply)

- Required.
This is required
*
Question 12.

Out of the following, how many have you heard or know about?

- Required.
This is required
*
Question 13.

Out of the following Bereavement services, how many have you heard about?

- Required.
This is required
*
Question 14.

How would you prefer to receive information about a dog's End of Life and options available?

- Required.
This is required
*
Question 15.

And finally, when thinking about the loss of, or impending loss of your dog, please select all the emotions that apply (in no particular order).

- Required.
This is required