Pet Quality of Life Scale

A gentle way to reflect on how your pet is really doing โ€” to support caring decisions with your vet.

Quick answer The vet-developed HHHHHMM scale rates seven areas โ€” Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More good days than bad โ€” each from 0 to 10. A total above about 35 out of 70 suggests an acceptable quality of life. Score it over time, and always discuss the results with your veterinarian.

Slide each from 0 (very poor) to 10 (very good), based on the last few days.

โ€” / 70
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What the seven areas mean

How to use it well

This scale is most powerful over time. Score it regularly, jot the number on a calendar, and mark each day as ๐Ÿ˜Š good or ๐Ÿ˜” hard. A gentle downward trend, or bad days starting to outnumber good ones, is more meaningful than any single result โ€” and gives you and your vet something concrete to talk about.

๐Ÿ’› This is a reflection aid, not a verdict, and it can't replace your veterinarian. Decisions about a beloved pet's care and comfort are deeply personal โ€” please make them together with your vet, who can also explain pain relief, hospice, and palliative options.

Frequently asked questions

What score means my pet is suffering?

On this scale, a total consistently below about 35/70 โ€” or any one area that can't be kept comfortable, like uncontrolled pain โ€” is a sign to talk with your vet right away about comfort and options.

Is it selfish to keep my pet going?

No โ€” and neither is choosing peace. The kindest measure is your pet's comfort and enjoyment, not the calendar. Your vet can help you weigh it honestly and without guilt.

What support is there?

Ask your vet about pain management, palliative/hospice care, and in-home options. Many areas also have pet-loss support lines and counsellors โ€” you don't have to carry it alone.

Related: dog age calculator ยท cat age calculator ยท common pet conditions.

Last reviewed: June 2026 ยท Written & fact-checked by the PawWise editorial team.

Veterinary references: AAHA ยท AVMA ยท AAFP ยท WSAVA ยท ASPCA. Educational information only โ€” not a substitute for professional veterinary care.