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  • Home
  • About Us
  • Services
    • End-of-Life Comfort Care
      • Pain Management
      • Acupuncture
      • Laser Therapy​
      • Palliative Care
    • At-Home Euthanasia
    • Cremation & Aftercare
    • Remembrance Items
    • Grief & Loss
  • FAQ and Pricing
  • Contact Us
  • Forms
    • Client/Pet Info & Service Agreement
    • Cremation & Remembrance Items
    • Quality of Life Assessment
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Quality of Life Assessment

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  • Quality of Life Assessment
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Scoring
No = 1   |   Sometimes = 2   |   Yes = 3
My pet can move around and change positions comfortably. *
My pet rests calmly without labored breathing. *
My pet appears relaxed, not anxious or restless. *
My pet can get up, lie down, and change position on their own. *
My pet recognizes family or familiar voices. *
My pet seeks comfort or closeness when offered. *
My pet's personality and "spirit" feel present. *
My pet still finds comfort in familiar routines and surroundings. *
My pet eats willingly and with interest. *
My pet drinks enough water on their own. *
My pet's weight and intake feel stable. *
My pet shows interest in food or treats even if appetite varies. *
My pet urinates and defecates comfortably without distress. *
My pet stays clean and dry; hygiene is manageable. *
My pet's skin and coat remain clean and healthy. *
My pet can maintain normal elimination habits with dignity. *
My pet shows no obvious pain (limping/stiffness). *
My pet tolerates touch and gentle handling. *
My pet rests without signs of discomfort. *
My pet can easily perform everyday tasks. *
Good days outnumber bad days. *
My pet sleeps peacefully through the night. *
Medications and comfort care are manageable and effective. *
My pet's daily routine feels calm and predictable. *
My pet shows interest in favorite people or activities. *
My pet has calm, content moments during the day. *
My pet seems happy or at peace more often than not. *
My pet still enjoys moments of curiosity or joy. *
I feel able to meet my pet's needs today. *
I have emotional support and am coping. *
I believe my pet is comfortable most of the time today. *
I feel at peace with the care I can provide my pet right now. *

24 – 48 = Poor quality of life (may be time to discuss next steps)
49 – 72 = Fair quality of life (monitor closely for negative changes)
73 – 96 = Good quality of life (no need for change at this time)

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* This assessment is a reflection guide, not a final answer. Every pet’s journey is unique – some pets with chronic illness or injury may still score well while quietly suffering. Trust both your own intuition and your veterinarian’s expertise when considering next steps. We will be here to support you along the way.
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Cremation & Remembrance Items
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Aftercare (cremation pricing listed on our FAQ/Pricing page) *
Box Selection (One wooden box or metal tin included with private cremation) *
Box Selection *
Engraving (for Cedar and Walnut Boxes Only - Includes 2 lines of engraving *
Clear Signature
Please draw the engraving details as if this were the lid of the box, including text and clipart placement.
Font Selection *
Clip Art ($12 per image) *
Additions to Wooden Boxes *
Premium Metal Urn Selection (Small 1-50 pounds $96) (Large 50-125 pounds $125) *
Premium Metal Urn Size *
Premium Metal Urn Style *
Paw Prints (Ceramic, Granite, Glass tile) *
Paw Print Types
Checkboxes
Checkboxes
Ink Prints (5 prints on card stock) *
Ink Print Type(s)
Ink Print Type(s)
Necklaces (Only available with Private Cremation - Each necklace is able to hold a small amount of ashes) *
Necklace
Necklace
Necklace
Necklace
Necklace
Necklace
Picture Frame with Clay Paw Print *
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Agreement
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