Pet Quality of Life Assessment
This compassionate assessment helps you evaluate your pet's quality of life using the veterinary HHHHHMM scale, seven dimensions that veterinarians use to guide end-of-life conversations.
Developed by veterinary oncologist Dr. Alice Villalobos, the HHHHHMM scale helps pet owners have informed conversations with their vet. This tool is for reflection, not a diagnosis.
Frequently Asked Questions
What is the HHHHHMM quality of life scale?
The HHHHHMM scale was developed by veterinary oncologist Dr. Alice Villalobos. It evaluates seven dimensions of pet welfare: Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More Good Days Than Bad. Each is scored 1-10, giving a total out of 70.
Is this assessment a replacement for veterinary advice?
No. This tool helps you organize your observations to share with your veterinarian. Only a vet can properly assess your pet's condition and recommend next steps.
What score means my pet has a poor quality of life?
A total score below 28 out of 70 suggests your pet may be experiencing significant discomfort and you should contact your veterinarian as soon as possible. Scores between 28-41 indicate declining quality of life that warrants a vet conversation.
Why does my pet seem better some days?
Pets with terminal illness often experience what veterinarians call a "terminal rally," a temporary improvement before decline. This is well-documented in veterinary medicine and doesn't necessarily mean recovery.