What is the HHHHHMM quality of life scale?

The HHHHHMM scale (developed by Dr. Alice Villalobos) assesses seven factors: Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More good days than bad. Each is scored 1-10. A total of 35 or below may indicate poor quality of life; 50+ suggests reasonable quality. Always discuss with your veterinarian.

When should I use a dog quality of life calculator?

Use this calculator for senior dogs, dogs with chronic illness, or when facing difficult care decisions. It helps you objectively assess well-being and identify areas needing attention. It's a screening tool—not a substitute for veterinary advice.

What does a low quality of life score mean?

A score of 35 or below suggests significant quality of life concerns. Discuss pain management, palliative care, and care options with your veterinarian. One severe symptom (e.g., unmanaged pain) can significantly impact quality of life even if other factors score well.

Is this the same as the Ohio State quality of life scale?

Our calculator uses the HHHHHMM scale. The Ohio State scale uses a different format (23 criteria, 1-5 ratings). Both are validated tools. The HHHHHMM scale is widely used and easier to complete. Discuss results with your vet regardless of which tool you use.

How To Use

The HHHHHMM Quality of Life Scale (developed by Dr. Alice Villalobos) helps assess your dog's well-being across seven factors. Rate each from 1 (severe problems) to 10 (no problems). This tool is especially useful for senior dogs or when facing difficult care decisions. Always discuss results with your veterinarian.

Quick Steps

1 Rate each of the 7 HHHHHMM factors from 1 (severe problems) to 10 (no problems).
2 Be honest about your dog's current condition.
3 Click Calculate to see the total score and assessment.