Quality of Life Summary Worksheet

Organize observations about your dog’s current comfort, everyday function, behavior, and overall well-being before a veterinary appointment.

Changes in a dog’s quality of life may be gradual, variable, or difficult to summarize from memory. Observations about appetite, energy, comfort, mobility, behavior, and enjoyment of familiar activities may provide helpful context when discussing your dog’s condition with your veterinary team.

The Quality of Life Summary Worksheet is designed to help organize those observations in a concise format that can be reviewed before or during an appointment. It does not calculate a score or provide an assessment of your dog’s quality of life.

Download a blank worksheet or complete the interactive form below to create a completed PDF that can be printed and shared with your veterinary team.

Published: August 06, 2026

OverviewComplete Online

How to Use This Resource

  • Complete the worksheet based on your dog’s current condition and any changes noticed during the observation period.
  • Compare your dog’s behavior and everyday function with what is usual for them.
  • Add brief notes where additional context may be helpful.
  • Bring the completed worksheet to your appointment or share it with your veterinary team in advance when appropriate.

The worksheet can be downloaded as a blank PDF or completed online and saved as a PDF.

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Quality of Life Summary Worksheet

This educational resource is designed to help organize observations about your dog’s current comfort, everyday function, behavior, and overall well-being before a veterinary appointment.

Complete this worksheet based on your dog’s current condition and any changes you have noticed during the observation period.

Dog & Observation Information

Past

Overall Changes

Overall changes observed during this observation period 

Favorite Activities

Activities that are familiar or meaningful to your dog.

Examples may include going for walks, eating treats, going on car rides, playing with toys, sniffing outdoors, greeting family members, or resting in a favorite place.

Favorite Activity Interest Ability

Appetite & Hydration

Changes in appetite and eating
Changes in water intake

Behavior & Interaction

Changes in behavior and interaction

Comfort & Rest

Changes in comfort and rest

Energy & Daily Activity

Changes in energy and activity

Mobility & Daily Function

Changes in mobility and everyday function

Gastrointestinal & Other Physical Changes

Gastrointestinal and physical changes

Additional Observations

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