Know which quality-of-life consultations deserve an appointment
The intake captures your pet's current condition, recent vet exam history, and specific concerns like pain, mobility, or appetite, then requests recent vet records so you know exactly what's ahead before scheduling.
The exact intake your quality-of-life consultation leads complete
This is the real 6-question guided intake for Quality-of-Life Consultation — the same flow your customers finish before you ever pick up the phone.
What a qualified quality-of-life consultation lead should tell you
A structured conversation that evaluates a pet's pain, mobility, appetite, and daily comfort so owners and their care team can decide together whether to continue treatment, move to hospice, or plan for end-of-life care.
- Animal This Consultation
- Best Describes Pet'S Current
- Veterinarian Examined Pet In
- Areas Most Concerned About
- Pet'S Owner Or Primary
- Soon Would Like Have
The questions your team needs answered
Every quality-of-life consultation intake asks these — and why each one matters.
| Question | Why it matters |
|---|---|
| What type of animal is this consultation for? | Segments the lead so you can route, price, and prioritize it correctly. |
| Which best describes your pet's current condition? | The severity and cause of decline is the strongest single signal for how urgent and appointment-worthy the consultation is. |
| Has a veterinarian examined your pet in the past 30 days? | A recent vet exam means there's already clinical context to work from, while no recent exam signals the consultation may need to start with a baseline assessment. |
| Which areas are you most concerned about right now? | The specific concerns selected — pain, mobility, eating, hygiene — tell your team which quality-of-life domains to focus the conversation on before the pet arrives. |
| Are you the pet's owner or primary caregiver making care decisions? | Confirming the respondent is the actual decision-maker prevents booking a consultation with someone who can't authorize next steps. |
| How soon would you like to have this consultation? | An 'Immediately' answer flags a pet that may be actively suffering and should be prioritized ahead of owners who are just exploring options. |
How Cliont scores quality-of-life consultation leads
Every answer is weighted automatically — no manual review required.
Value signals
- Declining due to chronic illness
- Declining due to old age
- Recently diagnosed with a serious condition
- Stable but with some concerns
- Not sure
- Veterinarian Examined Pet In: yes
Urgency signals
- Immediately
See the lead your team receives
Quality-of-Life Consultation Lead
From first click to qualified lead
Follow patients and caregivers through one smooth, guided flow.
They land & meet you
Your video greeting plays instantly — a real face instead of a blank form.
They explain the visit
Smart questions adapt to their visit and capture the full scope.
They share details
Symptoms, history, and documents come attached before the visit.
You get a ready lead
Scored and qualified — waiting for you to win it.
Built for quality-of-life consultation workflows
| Cliont capability | Quality-Of-Life Consultation application |
|---|---|
| Conditional branching | Adjusts follow-up questions based on which quality-of-life concerns — pain, mobility, eating, or hygiene — the owner selects. |
| Weighted lead scoring | Combines condition severity with recent vet exam status so chronic or newly-diagnosed cases with clinical context in hand rank above vague, unclear ones. |
| Decision-maker verification | Flags leads where the respondent isn't the pet's owner or primary caregiver so staff confirm who can authorize care decisions before booking. |
| Urgency routing | Triggers a same-day CRM alert when an owner selects 'Immediately' for consultation timing, separating them from owners just exploring options. |
Common quality-of-life consultation lead scenarios
Sudden serious diagnosis, wants urgent slot
An owner whose pet was just diagnosed with a serious condition selects 'Immediately' for timing — the intake flags this combination so it surfaces above routine bookings.
Long, slow decline from old age
The pet's condition is 'Declining due to old age' with a recent vet exam on file, and the owner picks 'This month' — a high-value but non-emergency case your team can schedule normally.
Family member calling, not the owner
The person filling out the form is not the pet's owner or primary caregiver, which the intake flags so staff can confirm who actually has authority before booking the consultation.
Stable pet, anxious owner exploring
The owner marks the pet as 'Stable but with some concerns' and is 'Just exploring options' — the intake still captures which concerns (behavior, hygiene) are on their mind without treating it as urgent.
No recent vet input, unclear picture
The owner answers 'Not sure' on condition and confirms no vet exam in the past 30 days, signaling the consultation may need to start with a baseline assessment rather than an end-of-life decision.
Connect Cliont to your workflow
Send leads
HubSpot, HighLevel, Salesforce, JobNimbus
Book visits
Google Calendar, Outlook Calendar, Calendly
Notify your team
Email, SMS, Slack
Automate follow-up
Zapier, Webhooks, API
Simple, transparent pricing
Choose the plan that works for your business.
Professional
Unlimited intake forms and leads for your growing business.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Advanced analytics dashboard
Pay Per Lead
Only pay when you receive a qualified lead.
- Unlimited intake forms
- Custom video greetings
- AI-powered voice bot
- English + Spanish support
- Automatic lead scoring
- Digital estimates & e-signatures
- Photo, video & file upload
- Charged only for submitted leads
More pet end-of-life services intake templates
Quality-of-Life Consultation lead-intake FAQs
How does the intake tell an urgent case from a routine one?
Timing answers like 'Immediately' combine with the pet's condition (chronic illness, old age, or a new serious diagnosis) so cases needing fast attention are distinguished from owners who are 'Just exploring options.'
What happens if the form is filled out by someone other than the pet's owner?
The intake asks directly whether the respondent is the owner or primary caregiver making care decisions, and flags a 'no' answer so your team can confirm decision-making authority before booking.
Does this intake also cover euthanasia scheduling?
No — this intake is specifically for quality-of-life consultations. If a pet owner is ready to schedule euthanasia, that's handled by the separate In-Home Euthanasia intake.
What symptoms or concerns does the intake actually collect?
Owners select from pain or comfort, mobility, eating or drinking, behavior or mood changes, and hygiene or incontinence, so your team knows which quality-of-life domains to focus on before the consultation starts.
Can the intake catch pets who haven't seen a vet recently?
Yes — it asks whether a veterinarian has examined the pet in the past 30 days, which helps your team gauge how much clinical context already exists versus how much needs to be gathered fresh.
How is this different from a grief support intake?
Grief support is for owners processing a loss that has already happened; this consultation intake is for owners still assessing a living pet's comfort and deciding on next steps.
Turn quality-of-life consultation visitors into qualified patients
Give every quality-of-life consultation visitor a guided intake instead of a dead contact form — and get a scored, qualified lead before you book front-desk time.