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Quality of Life Questionnaire Back to Client Info Index

How much do you think that the disease is disturbing you dog's quality of life?

• Very much
• Much
• A little
• Not at all

Does your dog still do what it likes (eg, play or go for a walk)?

• No
• Rarely
• Frequently
• In a normal way

How is your dogs mood?

• Totally altered
• Some episodes of alteration
• Changed a little bit
• Normal

Does your dog keep it hygenic habits (ie, does your dog clean itself)?

• No
• Rarely
• Less than before
• Yes

How often do you think that your dog feels pain?

• All the time
• Frequently
• Rarely
• Never

Does your dog have an appetite?

• No
• Only eats when forced, will eat more of what it likes
• Little
• Normal

Does your dog get tired easily?

• Yes, always
• Frequently
• Rarely
• No

How is your dog sleeping?

• Very badly; not sleeping at all
• Badly
• Almost normally
• Normally

How often does your dog vomit?

• Always
• Frequently
• Rarely
• Never

How are the intestines of your dog functioning?

• Very badly
• Badly
• Almost normally
• Normally

Is your dog able to position itself to defecate and urinate?

• Never positions itself to urinate or defecate
• Rarely positions itself to urinate or defecate
• Sometimes positions itself to urinate or defecate
• Urinates and defecates normally

How much attention is your dog giving to the family?

• Indifferent
• Little attention
• Increased attention; the dog is needy
• Has not changed