Dog Quality of Life Scale (HHHHHMM Calculator)
Objectively evaluate your aging, sick, or terminally ill dog's daily comfort, dignity, and wellbeing using the clinical HHHHHMM scale created by veterinary oncologist Dr. Alice Villalobos.
HHHHHMM Assessment Scoring (0 to 10 scale per domain)
Rate each domain from 0 (poor) to 10 (excellent).
Total Quality of Life Score
Clinical Threshold
A total score above 35 represents an acceptable quality of life for hospice care. A score below 35 indicates compromised welfare.
Dr. Villalobos HHHHHMM Quality of Life Scale Breakdown
| Category Domain | What to Evaluate | Clinical Goal / Management |
|---|---|---|
| 1. Hurt | Is pain successfully controlled? Is breathing easy and unobstructed? | Adequate analgesia, oxygen support if needed. |
| 2. Hunger | Is the dog eating enough voluntarily? Hand-feeding needed? | Appetite stimulants, palatable warm soft foods. |
| 3. Hydration | Is the dog dehydrated? Skin tenting present? | Subcutaneous fluid therapy under vet direction. |
| 4. Hygiene | Is coat brushed and clean? Any bedsores or soiled fur? | Soft orthopedic bedding, regular position turns. |
| 5. Happiness | Does the dog express joy, tail wags, interest in family? | Mental stimulation, gentle affection, close proximity to family. |
| 6. Mobility | Can the dog get up unassisted? Move around for elimination? | Harness slings, non-slip rugs, mobility ramps. |
| 7. More Good Days | Do good days outnumber bad days over a week-long trend? | Keep a daily calendar log of good vs bad days. |
Calculation Methodology & Biological Principles
Villalobos HHHHHMM Equation
Sums 7 physiological and emotional factors rated 0 to 10. Helps pet parents objectively assess humane end-of-life decisions.
Veterinary Disclaimer
This tool provides objective guidance for discussion with your veterinarian. It is not a substitute for clinical veterinary diagnosis or hospice care guidance.
Frequently Asked Questions
What is the HHHHHMM Quality of Life Scale for dogs? ▼
The HHHHHMM Quality of Life Scale is a validated veterinary assessment tool developed by Dr. Alice Villalobos. It measures 7 key parameters: Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, and More Good Days Than Bad Days.
How is the HHHHHMM scale scored? ▼
Each of the 7 categories is scored on a scale from 0 (very poor) to 10 (excellent). A total score of 35 or higher (out of 70) indicates an acceptable quality of life for a senior or ailing pet.
When should I consider end-of-life care or euthanasia for my dog? ▼
If your dog's total score drops below 35, or if any single category (especially Hurt or Hydration) is chronically scored below 5 despite medical treatment, consult your veterinarian to discuss palliative hospice care or humane euthanasia.