Quality of Life Assessment
When evaluating the quality of life of your pet, personalized patient and family information is important when reaching an educated, informed, and supported choice that fits not only your pet’s medical condition, but also your wishes and expectations. In short, quality of life applies not only to the pet, it also applies to you!
Pet's Name:
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Social Functions
Desire to be with the family has not changed
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Interacts normally with family or other pets (i.e., no increased aggression or other changes)
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
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Health
No changes in breathing or panting patterns
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
No outward signs of pain (excessive panting, pacing, and whining are most commonly seen)
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
No pacing around the house
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
My pet’s overall condition has not changed recently
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
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Mental Health
Enjoys normal play activities
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Still dislikes the same thing (i.e., still hates the mailman = 0, or doesn’t bark at the mailman anymore = 2)
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
No outward signs of stress or anxiety
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Does not seem confused or apathetic
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Nighttime activity is normal, no changes seen
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
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Natural Functions
Appetite has stayed the same
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Drinking has stayed the same
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Normal urination habits
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Normal bowel movement habits
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
Ability to ambulate (walk around) has stayed the same
*
agree with statement (describes my pet)
some changes seen
disagree with statement (does not describe my pet)
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Total Score
Total Score:
Results: 0-8
Quality of life is most likely adequate. No medical intervention required yet, but guidance from your veterinarian may help you identify signs to look for in the future.
Results: 9-16
Quality of life is questionable and medical intervention is suggested. Your pet would certainly benefit from veterinary oversight and guidance to evaluate the disease process he/she is experiencing.
Results: 17-32
Quality of life is a definite concern. Changes will likely become more progressive and more severe in the near future. Veterinary guidance will help you better understand the end stages of your pet’s disease process in order to make a more informed decision of whether to continue hospice care or elect peaceful euthanasia.
For any further questions or to discuss available options, please don't hesitate to contact us. We're happy to provide more information and help you find the best solution for your needs.
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