Free PDF · 1 page · 3 fillable boxes · No email or account
Support Request Starter · free
01 How it works
Three boxes. One request.
1
Notice
Describe one recent moment in plain sentences. Skip the explanation for why it happened.
2
Name the help
Pick one kind of support: listening, time, a shared task, or a change of plan.
3
Ask
Choose one visible action with a day and time. Say it as a question you can hear a yes or no to.
Your first draft
“I’ve noticed ____. What would help is ____. Would you be willing to ____?”
You don’t need a diagnosis or a cause to start.
02 Example
What a finished request can sound like.
Mara wants a quieter evening at home. Her words describe her situation. Use only the parts that fit yours.
Fictional example · Mara
What I’m noticing
After work this week, I’ve been running out of energy by dinner. Yesterday I tried to cook and answer everyone’s questions at once, and I felt overloaded.
What would help
A quiet break when I get home, and someone else taking dinner off my list twice this week.
One request I can make
Could you handle dinner on Tuesday and Thursday, and give me 20 minutes alone after work on those days? We can check in on Sunday about how it went.
How Mara might start
“I want to explain what evenings have been like for me and ask for a small change this week. Is now a good time for a short conversation?”
If those days don’t work
“Which evening could you take dinner? I can simplify the other night. I still want to protect that short break.”