How To Measure the Quality of Life in a Cat

measure the quality of life in a cat

As devoted cat owners, we cherish our feline companions and strive to provide them with the best possible life. A crucial aspect of responsible pet ownership is ensuring that our cats lead happy and healthy lives.

Measuring the quality of life in a cat can be a challenging task, as cats are masters of masking their emotions. However, by paying attention to various indicators and providing proper care, we can better gauge their overall well-being.

In this blog post, we will explore how to assess and enhance the quality of life for our beloved feline friends.

Understanding Your Cat’s Quality of Life

Before we can accurately measure the quality of life in a cat, it is important to understand what factors contribute to its overall well-being. Some of these factors include:

  1. Physical Health: A cat’s physical health is vital and can be evaluated through regular veterinary check-ups. Pay attention to their weight, fur condition, dental health, and overall energy level.
  2. Nutrition: Proper nutrition is paramount for a cat’s well-being. A balanced diet that matches their age, size, and health is vital.
  3. Hydration: Cats can often neglect to drink enough water, so ensuring they’re well-hydrated is crucial for their kidney health and overall well-being.
  4. Enrichment: Cats need mental and physical stimulation. This can be achieved with toys, puzzles, and regular playtime.
  5. Socialisation: While cats are known for their independence, they can also enjoy and benefit from social interaction with their human companions or other pets.
  6. Comfort and Safety: A comfortable living environment that is free of stress and dangers is essential for a cat’s well-being. This can be achieved by providing a safe indoor space, comfortable resting areas, well-being a clean litter box.
  7. Behavioural Indicators: Changes in behaviour can often be an early warning sign of a decline in a cat’s quality of life. Monitor their activity levels, interaction with family members, sleep patterns, and litter box usage.

It’s important to regularly monitor these factors and tailor your care to your cat’s specific needs.

Common Conditions that May Deteriorate the Quality of Life in a Cat

There are certain health conditions that can lead to a decline in a cat’s quality of life. Some chronic medical conditions include:

  • Hyperthyroidism: This condition results from an overactive thyroid gland, leading to a cat feeling more energetic and losing weight.
  • Diabetes: Cats with diabetes require continuous care, including daily insulin injections and frequent blood glucose monitoring.
  • Kidney Disease: This is a serious medical condition that can lead to severe dehydration and the need for regular subcutaneous fluid administration.
  • Arthritis: Cats can suffer from arthritis, leading to stiffness and pain when walking and jumping.
  • Skin Allergies: Skin allergies can cause intense itching and other uncomfortable symptoms for cats.
  • Cognitive Dysfunction Syndrome (CDS): This is a condition in which cats show signs of dementia, displaying changes in behaviour such as confusion, disorientation, and increased sleepiness.
  • Respiratory Issues: Respiratory issues such as asthma and chronic bronchitis can affect cats, leading to difficulty breathing.
  • Cancer: Unfortunately, cancer can also affect cats and lead to a decrease in quality of life.
  • Blindness: Cats can become blind due to a variety of conditions, leading to changes in behaviour and activity levels.
  • Deafness: Over time, cats can become completely or partially deaf, which can cause confusion and anxiety.
  • Obesity: An obese cat can find it difficult to move around and be less active, leading to a decrease in quality of life.

Be aware of these common conditions and seek veterinary treatment as soon as possible if you suspect that your cat may have one of them.

Measuring Quality of Life in a Cat Using the HHHHHMM Scale

The HHHHHMM Scale, also known as the “Honor System,” is a simple method to measure and assess the quality of life in cats. This scale was developed by Dr. Alice Villalobos, an animal welfare researcher at the University of California-Davis School of Veterinary Medicine. The scale is composed of six parameters: Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility and More Good Days than Bad.

Each parameter is given a score of 0-10, with 0 being the worst and 10 being the best. On a scale of 1-10, (0=Unacceptable and 10=Excellent). The higher your cat scores on this scale, the better their current quality of life is.


This means that the cat is feeling pain, either physical or emotional. Monitor your cat’s behaviour for signs of pain, such as yowling, aggressiveness, an unusual gait, and excessive grooming. A score of 0 means that your cat has significant pain or discomfort due to an injury or illness, whereas a score of 10 means that they are relatively pain-free.


Does your cat have access to food? Is their appetite healthy? Does your cat require a feeding tube? A score of 0 indicates that your cat is not getting enough to eat, whereas a score of 10 means that they have access to food and are eating normally.


This parameter assesses whether or not your cat is well-hydrated. Does your cat drink water regularly? Is their urine colour normal? A score of 0 means that your cat is dehydrated, while a score of 10 indicates that they are drinking enough water.


How clean is your cat’s litter box? Is your cat’s fur coat groomed regularly? Does your cat have pressure sores from excessive licking or grooming? A score of 0 means that your cat’s hygiene is neglected, while a score of 10 indicates good hygiene habits.


Is your cat friendly and affectionate? Does it have any anxiety or fear issues? Is it lonely, depressed, bored or depressed? Does it respond to things around it and interact with other cats or humans? A score of 0 indicates that your cat is unhappy or anxious, while a score of 10 means that they are content and comfortable in their environment.


Is your cat able to move around without any issues or hindrances? Are there any physical limitations preventing them from getting around as they normally would? Do they need human help or the use of equipment such as a wheelchair or ramps? Does it have seizures or any other neurological issues?

A score of 0 means that your cat has significant difficulty moving around due to pain, injury or age, while a score of 10 indicates that they are able to move and exercise without any issues.

More Good Days than Bad:

This parameter assesses the quality of life in cats over an extended period of time. Are there more days when your cat is happy and healthy than days when it is not?

A score of 0 means that your cat has more bad days than good, while a score of 10 indicates that they have overall good health and quality of life.

If the total score is greater than 35 points, then your cat’s quality of life is below the acceptable standard, and euthanasia might be recommended. If the total score is less than 35, then your cat’s quality of life is considered acceptable.

How To Improve the Quality of Life for Your Cat

Once you’ve identified any potential issues, you can take action to improve the quality of life for your cat. Some steps you can take include:

  • Regular Veterinary Check-Ups: Taking your cat for regular check-ups to the vet can help identify any underlying health concerns before they become serious.
  • Proper Nutrition: Providing your cat with a balanced diet and plenty of fresh water can make a huge difference in their well-being.
  • Environment: Ensuring that your cat has plenty of space and enrichment activities that encourage them to move and explore can help reduce boredom.
  • Exercise: Regular exercise helps your cat stay healthy and active, preventing obesity and joint stiffness.
  • Companionship: Cats are social creatures and need the companionship of other cats or humans for their mental well-being.
  • Human Interaction: Giving your cat plenty of attention is critical for its emotional health. Play sessions, cuddles and grooming will all help to maintain a strong bond between you and your cat.

Putting Your Cat Down at Home: What is the Right Time?

It is important to remember that a low HHHHHMM score does not always mean that you need to put your cat down. While it may be necessary in certain cases, it is not always the best option for your cat’s well-being.

In some cases, putting your cat down at home may be the most humane decision if they are suffering from a terminal illness or injury and have a poor quality of life. In this case, you should consult your vet as they can help you to decide when the time is right.

How The Kindest Goodbye Can Help

At The Kindest Goodbye, we provide compassionate end-of-life care for cats in the comfort of their own home. We will work with you to ensure that your cat passes as peacefully and painlessly as possible.

We understand how difficult it can be to make the decision to put your cat down, which is why we are dedicated to providing a safe and comforting environment where you and your pet can say goodbye.

To learn more about how The Kindest Goodbye can help you and your cat, get in touch with us today. We are here to support you in making the best decision for your pet.


No matter how much effort you put in, it is important to remember that cats have a natural lifespan and will eventually pass away. During their lifetime, it is our responsibility as pet owners to ensure they are given the best care and attention so they can live high-quality life until the very end.

By assessing their quality of life, providing them with proper nutrition and exercise, and ensuring they have companionship and human interaction, we can ensure that they remain healthy and content for as long as possible. For cats that are suffering from a terminal illness or injury, it may be necessary to put them down at home when the time is right.

well-being can provide you and your cat with the compassionate end-of-life care that they deserve. Get in touch with us today to learn more about how we can help you and your cat.

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