COMPASS Quality of Life Scale

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Your Name* This field is required.

First

Last

2

Email

example@example.com

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Phone Number

Area Code

Phone Number

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Your Beloved Pet's Name* This field is required.

5

Species* This field is required.

6

Age* This field is required.

in years

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How physically comfortable does your beloved pet seem throughout the day and night?* This field is required.Consider pain, breathing effort, panting at rest, trembling, vocalizing, restlessness, difficulty finding a comfortable position, reluctance to move, or other signs of physical distress.

Comfortable — Resting comfortably with little or no noticeable discomfort

Mostly Comfortable — Occasional discomfort that is generally well controlled

Changing — Discomfort is becoming more noticeable or more frequent

Struggling — Comfort is difficult to maintain consistently

In Crisis — Significant or uncontrolled pain or distress

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How comfortable and secure does your beloved pet seem within their surroundings?* This field is required.Consider confusion, anxiety, pacing, staring, getting lost or stuck, nighttime restlessness, altered sleep patterns, changes in familiar routines, withdrawal, or difficulty recognizing familiar people or places.

Aware & Secure — Alert, comfortable, and behaving much like themselves

Mostly Secure — Occasional mild confusion or anxiety without significant distress

Changing — Noticeable cognitive or emotional changes are occurring more frequently

Struggling — Frequent confusion, anxiety, agitation, or difficulty settling

Distressed — Severe or persistent confusion, fear, anxiety, or emotional distress

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Can your beloved pet comfortably move through the activities necessary for daily life?* This field is required.

Independent — Moving comfortably and able to perform normal daily activities

Mostly Independent — Slower or mildly limited but able to meet daily needs comfortably

Changing — Noticeable difficulty with some everyday activities or increasing assistance needed

Struggling — Significant assistance required, frequent weakness/falls, or movement causes distress

Unable — Unable to stand, walk, reposition, or reach necessary areas comfortably

13

Does your beloved pet still experience meaningful moments of joy, interest, and connection?* This field is required.

Engaged & Joyful — Regularly enjoys favorite people, activities, and routines

Still Connected — Continues to enjoy several meaningful pleasures, although perhaps less often

Changing — Moments of enjoyment and engagement are becoming less frequent

Struggling — Rarely interested in previously meaningful activities or interactions

Withdrawn — Little or no apparent enjoyment, interest, or meaningful engagement

14

What are three things your beloved pet has always loved most?

These can be very simple things—food, people, routines, places, toys, sunshine, walks, affection, or anything that has always brought your pet joy.

15

Can your beloved pet still enjoy these things?

Yes, regularly

Sometimes

Rarely

No

16

How comfortably and willingly is your beloved pet eating and drinking?* This field is required.Consider appetite, thirst, nausea, vomiting, difficulty chewing or swallowing, needing encouragement or hand-feeding, and whether your pet now accepts only favorite foods or treats. **Something to consider: Is eating still something your pet enjoys, or has it become something you have to persuade them to do?

Normal — Eating and drinking willingly and comfortably

Mostly Normal — Mild changes, but still eating and drinking adequately without significant encouragement

Changing — Eating less, becoming selective, or requiring encouragement

Struggling — Eating or drinking very little, significant nausea, or substantial assistance required

Unable/Refusing — Refusing or unable to eat/drink comfortably

18

Can your beloved pet remain clean, dry, and comfortable with toileting and personal care?* This field is required.Consider urination and bowel movements, accidents, ability to reach an appropriate toileting area, grooming, wounds or masses, pressure sores, and how much assistance is required to remain clean and comfortable.

Independent & Comfortable — Toileting, grooming, and hygiene remain normal or easily maintained

Mostly Comfortable — Occasional assistance is needed but dignity and comfort are easily maintained

Changing — Increasing accidents, grooming difficulty, or assistance is needed

Struggling — Frequently unable to remain clean/dry or toileting has become difficult

Significant Difficulty — Regularly lying in urine/stool, severe wounds/soiling, or significant distress associated with elimination or hygiene

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Looking at the past 7–14 days as a whole, how would you describe your beloved pet's days?* This field is required.

Mostly Meaningful Days — Comfortable, connected days clearly outweigh difficult ones

More Good Than Difficult — There are still many comfortable and enjoyable days

Mixed — Good and difficult days are becoming fairly equal

More Difficult Than Good — Difficult days now appear to predominate

Mostly Difficult Days — Comfort, enjoyment, and meaningful engagement have become uncommon

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If every day were like today, would you feel comfortable asking your beloved pet to continue this way?

Yes

Probably

I'm not sure

Probably not

No

22

Where are you emotionally right now?Quality of life isn't experienced in a vacuum. Caring for a seriously ill or aging pet can bring love, hope, uncertainty, exhaustion, fear, and anticipatory grief. Your observations and concerns are an important part of understanding the whole picture.

I feel comfortable with where things are today.

I'm noticing changes and would like guidance.

I'm worried my pet may be uncomfortable or suffering.

I think we may be approaching the time to say goodbye.

I'm afraid we may already be there.

I feel overwhelmed and don't know what to think.

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What concerns you most about your beloved pet right now?* This field is required.

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What are you most afraid might happen if you wait too long?* This field is required.

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What are you most afraid might happen if you say goodbye too soon?* This field is required.

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COMPASS Quality of Life TOTALA score cannot tell you how much your pet loves you, and it cannot make this decision for you. Quality of life is about patterns—the comfort your pet experiences, the things they can still enjoy, what has become difficult, and whether meaningful moments continue to outweigh suffering. COMPASS is intended to help you see those patterns more clearly. Please click NEXT for more information

27

Many Meaningful Moments Remain

Your responses suggest that many important areas of your beloved pet's daily life remain comfortable and meaningful.

Continue enjoying this time together while watching for changes. Repeating COMPASS periodically can make gradual changes easier to recognize.

28

Meaningful Changes Are Emerging

Your responses suggest that some aspects of your beloved pet's quality of life are changing.

This does not necessarily mean it is time to say goodbye. It may be a good time to speak with your veterinarian about comfort, symptom management, what changes to expect, and how you would like to plan ahead.

Talk With Dr. Hemsley About Quality of Life

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Quality of Life May Be Significantly Changing

Several areas of your beloved pet's daily life appear to be becoming more difficult.

A veterinary quality-of-life consultation can help you consider what may still be improved, what your pet may be experiencing, and whether preparing for a peaceful goodbye may now be appropriate.

Talk With Dr. Hemsley About Quality of Life

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Significant Quality-of-Life Concerns

Your responses suggest that your beloved pet may be experiencing substantial difficulty with comfort or daily life.

We recommend speaking with a veterinarian promptly. Severe pain, difficulty breathing, collapse, uncontrolled seizures, or significant distress may require immediate veterinary attention.

Talk With Dr. Hemsley About Quality of Life

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Where would you like to go from here?* This field is required.PLEASE CHOOSE ONE OF THE OPTIONS BELOW THEN CLICK "SUBMIT"

I need guidance - I'd like to talk with Dr. Hemsley about my pet's quality of life and what comes next.

I think it may be time - Request in-home euthanasia care for your beloved pet.

I want to continue monitoring - I'd like to save my COMPASS results and reassess my pet's quality of life over time.