Cat Quality of Life Calculator

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1 = uncontrolled severe pain or laboured breathing; 10 = pain well controlled, normal breathing. Consider whether your cat is on adequate pain medication.
1 = eating nothing, severe weight loss; 10 = eating well, maintaining healthy body weight. Syringe-feeding or appetite stimulants may improve this score.
1 = severely dehydrated (skin tent, sunken eyes); 10 = well hydrated. Subcutaneous or IV fluids can improve hydration when drinking is poor.
1 = matted coat, soiled fur, skin sores from lying in waste; 10 = clean coat, no sores, grooming maintained. Regular gentle brushing by caregivers counts.
1 = withdrawn, fearful, depressed, or in crisis; 10 = curious, responsive to family, enjoys favourite activities. Interaction, enrichment, and favourite resting spots all matter.
1 = cannot move without assistance, pressure sores developing; 10 = moves freely and independently. Ramps, orthopedic beds, and physiotherapy can help.
1 = nearly every day is a bad day (pain, distress, refusal to eat); 10 = nearly every day is good. A sustained run of bad days suggests quality of life may no longer be acceptable.
Total QoL ScoreNot acceptable
35/ 70

Sum of all seven criteria scores (max 70)

Average per criterion5
Lowest-scoring categoryHurt
Quality of life bandNot an acceptable quality of life
35 pts
Not acceptable<35Acceptable35-60Excellent60+

Not an acceptable quality of life - score 35/70

  • Your cat's total HHHHHMM score is 35 out of 70 (average 5.0 per criterion).
  • A score below 36 suggests the current quality of life may be difficult to sustain. A compassionate conversation with your veterinarian about pain management options or end-of-life care is strongly recommended.
  • "Hurt" is currently your lowest-scoring area. Focusing care and veterinary attention here may offer the most benefit to your cat's overall wellbeing.
  • Re-score your cat weekly or after any medication change, hospitalization, or noticeable shift in behaviour to track trends over time.

Next stepContact your veterinarian promptly to discuss palliative care options, pain management, or humane euthanasia. Your cat's comfort is the priority.

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