Select the one number that best describes the pain at its worst in the last 7 days.
0 is none, 10 is extreme

Select the number that best describes the pain at its least in the last 7 days (0 is none , 10 is extreme pain)

Select the number that best describes the pain at its average in the last 7 days.

Select  the number that best describes the pain as it is right now

Description of function:

0 = doesnt intefer , 10 = completely interfers

Fill in the oval next to the one number that best describes how during the last 7 days pain has interfered with  your dog's:

Enjoyment of Life

Ability to Rise to Standing From Lying Down

Ability to Walk

Ability to Run

Ability to Climb Stairs, Curbs, Doorsteps, etc

Overall impression:

Select number that best describes your dog's overall quality of life over the last 7 days