Form C – Helsinki Chronic Pain Index

Name
Rate your Pet’s attitude and/or mood:
Rate your pet’s willingness to participate in play or interact:
Rate your pet’s frequency in vocalization or discomfort behaviour (audible whining, grunting, yelping, or unusual licking):
Rate your pet’s eagerness to walk:
Rate your pet’s ability and/or willingness to walk up and/or down stairs:
Rate your pet’s ability and/or willingness to run:
Rate your pet’s ability and/or willingness to jump (onto bed, couch, vehicle, etc):
Rate your pet’s ease in lying down:
Rate your pet’s rising from a down position:
Rate your pet’s ease of movement after a long rest:
Rate your pet’s ease of movement during and/or after exercise/walks (tired, dragging feet, scuffing nails, lying down):