Dog Quality of Life Assessment

A structured way to help you decide what is best for your pet. Rate your dog across seven key life areas to objectively see their current level of comfort and happiness.

Score = Hurt + Hunger + Hydration + Hygiene + Happiness + Mobility + More Good Days
If most scores are 5, total = 35. This is the threshold where quality of life becomes a serious concern.

What is the HHHHHMM scale for dogs?

It is a quality of life assessment developed by Dr. Alice Villalobos. It stands for Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More Good Days. Each is rated from 0 to 10.

What score indicates a poor quality of life?

A total score below 35 out of 70 generally suggests that the dog's quality of life is declining and that hospice care or euthanasia should be discussed with a veterinarian.

How often should I perform this assessment?

For senior dogs or those with terminal illnesses, once a week or even daily can help you track trends. It is often more helpful to see if the score is improving or declining over time rather than looking at a single number.