• Pathway to Care Assessment for Dogs

    Please answer the following questions based on your pet’s current condition. The assessment has five sections, and you can revisit your answers before submission by using the back button. After you submit the assessment, you’ll be guided to a page with care options that may best match your pet’s needs based on your answers. Your contact information will be requested on the last screen, so you can receive an email with information and resources. Thank you for taking the time to thoughtfully care for your pet.

  • Questions about your dog's mental status and behavior.

  • My dog exhibits worsening anxiety behaviors (restlessness, clinginess, whining, pacing, panting, or inability to settle).*
  • My dog is no longer interacting with our family the way it normally has.*
  • no longer greeting
  • My dog seems more disoriented recently. (For example: gets stuck in corners, has difficulty getting around objects, stares blankly at walls/into space, does not recognize familiar people/familiar pets.)*
  • My dog no longer greets people at the door when entering the home, which is an unusual or new behavior for them.*
  • My dog has trouble settling down at night, falling, or staying asleep throughout the night.*
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  • My dog is more or less affectionate than in the past.*
  • It is difficult for me to comfort my dog and get them back to sleep after waking at night.*
  • My dog does not consistently go outside (or to a trained location- i.e. pee pad) to urinate and/or defecate (pee or poop).*
  • My dog has growled at, bitten, or generally been more irritable with the family or other pets in the home.**

  • Questions about your dog's daily living activities (urination, defecation, eating, drinking, grooming, walking, sleeping).

  • My dog spends the majority of the day sleeping or resting when they normally would be active.*
  • My dog has increased difficulty finding, picking up, or chewing food now.*
  • My dog has trouble finding a comfortable resting position throughout the day.*
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  • At least one of my dog’s activities of daily living appears to be more difficult.*
  • My dog becomes easily out of breath from one or more of their activities of daily living.*
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  • My dog has been more withdrawn from the family or other pets in the home.*

  • Questions about your dog's mobility.

  • My dog is no longer able to rise independently from sitting or laying down.*
  • Disinterested dog
  • My dog is not able to stand and position normally when urinating and defecating.*
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  • My dog is less steady while walking (i.e., crossing over of the hind limbs, stumbling, scuffing paws, frequent balance checks, etc.) or frequently falls while walking or running.*
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  • My dog's legs slide out from underneath them on smooth surfaces.*
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  • My dog now requires a mobility aid (e.g., sling, harness, traction support tools, etc.).*

  • Questions about your dog's general health.

  • My dog has been diagnosed with cancer or organ dysfunction/failure (kidney disease, heart disease, liver disease).*
  • My dog is vomiting or having diarrhea consistently.*
  • My dog is having seizures that are not easily controlled.**
  • My dog is sneezing frequently or with discharge (yellow/green discharge or blood).*
  • My dog's walks are required to be considerably slower and/or shorter than they used to be.*
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  • My dog is coughing enough to disrupt its daily routine.*
  • My dog is unable to partake in their favorite activities (or a modified version of those activities) any longer or is generally less playful than before.*
  • My dog has lost weight unintentionally (i.e.- without placing them on a restricted calorie diet) and/or seems skinnier or less muscular than in the past.*
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  • My dog is showing a change in the effort required to breathe.**

  • Questions about your relationship with your dog.

  • I, or other family members, have physical limitations that make it more difficult to care for my dog.*
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  • My dog’s care is causing financial stress for me or other caregivers.*
  • I feel more frustrated when I am around my dog than before.*
  • I have fears and/or anxiety about my pet's condition or care.*
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  • My dog’s care is causing strain on relationships in the home (either with the pet or with other family members).**
  • I feel stressed balancing caring for my pet with other responsibilities for myself, my family or work.*
  • I feel more reluctant to discuss my dog’s current situation with friends, neighbors, etc.*
  • I feel guilty that I cannot do more for my dog.*
  • My relationship with my dog has changed because of their cognitive changes, behavior changes, and /or health, comfort, or mobility needs.*

  • Contact Information

  • Format: (000) 000-0000.
  • Which service area are you in or near?*
  • Your follow-up preference*

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