Cat Quality of Life (HHHHHMM)

10: No signs of pain or breathing difficulty, comfortable at rest and during activity, purring contentedly

8-9: Minimal discomfort, well-controlled with medication, occasional slight breathing changes

6-7: Some pain signs (hiding, decreased activity), may need medication adjustment, mild breathing changes

4-5: Moderate pain (vocalizing, reluctance to move), requires frequent pain management, noticeable breathing effort

2-3: Significant pain (constant vocalization, aggression when touched), difficult to control, labored breathing

0-1: Severe uncontrolled pain, constant distress, severe breathing difficulty or open-mouth breathing

10: Eating normally, good appetite, maintains weight, enjoys favorite foods

8-9: Eating well with minor encouragement, slight preference changes

6-7: Reduced appetite, needs encouragement or special foods (wet food, treats), eating 75% of normal

4-5: Poor appetite, eating less than half normal amount, needs frequent hand-feeding or syringe feeding

2-3: Very poor appetite, refusing most food, only eating small amounts of favorite treats

0-1: Not eating, refusing all food, requires force-feeding or feeding tube, rapid weight loss

10: Drinking normally, well-hydrated, using water bowl regularly

8-9: Drinking adequately with minor encouragement, may prefer running water

6-7: Reduced water intake, may need encouragement (water fountains, flavored water), drinking 75% of normal

4-5: Poor hydration, drinking less than half normal, may need subcutaneous fluids

2-3: Very poor hydration, minimal water intake, showing signs of dehydration

0-1: Dehydrated, not drinking, requires IV or subcutaneous fluids, skin tenting present

10: Using litter box normally, grooming regularly, clean and well-maintained

8-9: Mostly using box, occasional accidents outside box, grooming slightly less

6-7: Some litter box issues, needs larger box or lower sides, reduced grooming, needs occasional cleaning

4-5: Frequent accidents, difficulty accessing box, minimal grooming, requires daily cleaning and assistance

2-3: Severe litter box problems, soiling outside box frequently, not grooming, constant soiling

0-1: Complete inability to use box, complete lack of grooming, severe soiling, requires constant cleaning

10: Happy, purring frequently, seeks attention, enjoys activities and interactions, playful

8-9: Generally content, purrs when petted, responds to attention, shows interest in surroundings

6-7: Somewhat withdrawn, less interested in activities, purrs occasionally, less interactive

4-5: Depressed, minimal interest in surroundings, rarely purrs, withdrawn from family

2-3: Very withdrawn, rarely responds to stimuli, no purring, appears miserable

0-1: Severely depressed, no interest in anything, no purring, appears completely miserable, hiding constantly

10: Normal movement, jumps and climbs normally, walks and runs without difficulty

8-9: Slight difficulty jumping, but gets around well, may avoid high jumps

6-7: Moderate difficulty, needs assistance for high places, struggles with some movements

4-5: Significant difficulty, cannot jump, struggles to walk, needs help navigating

2-3: Very limited movement, mostly immobile, drags limbs, cannot change positions easily

0-1: Cannot move, completely immobile, unable to change positions, paralyzed

10: All or nearly all days are good, consistent quality of life

8-9: Most days are good, occasional bad days, but overall positive

6-7: More good than bad, but bad days increasing in frequency

4-5: Equal good and bad days, or slightly more bad days, declining trend

2-3: Mostly bad days, few good days, significant decline

0-1: All or nearly all days are bad, constant suffering, no relief