Quality of Life in Dogs with Pain secondary to Cancer

Animal Name*
Sex* (male, female)
Animal date of birth*
Castrated?* (yes, no)
Weight* (kg)
1. How much do you think that the disease is disturbing your dog’s quality of life?
2. Does your dog still do what it likes (eg, play or go for a walk)?
3. How is your dog’s mood?
4. Does your dog keep its hygienic habits (ie, does your dog clean itself)?
5. How often do you think that your dog feels pain?
6. Does your dog have an appetite?
7. Does your dog get tired easily?
8. How is your dog sleeping?
9. How often does your dog vomit?
10. How are the intestines of your dog functioning?
11. Is your dog able to position itself to defecate and urinate?
12. How much attention is your dog giving to the family?