Senior Pet Quality of Life Assessment

The HHHHHMM Scale, developed by veterinary oncologists at the Escondido Animal Hospital, is a widely used veterinary quality-of-life assessment tool for pets with serious illness.

Discuss Results With Your Veterinarian

This tool provides a framework for assessment, not a definitive answer. Share your scores with your veterinarian as part of an honest conversation about your pet's comfort and care options.

Hurt: Pain is controlled -- pet is not gasping, panting severely, or showing signs of ongoing distress

Hunger: Pet is eating enough to maintain reasonable body condition (not emaciated)

Hydration: Pet is adequately hydrated -- skin tents normally, gums are moist

Hygiene: Pet is kept clean and comfortable -- wounds, sores, or incontinence managed

Happiness: Pet expresses interest in surroundings, shows awareness, responds to family

Mobility: Pet can move well enough or is helped to move without distress

More Good Days: There are more good days than bad days overall

out of 70