Adrenal
Quality of Life Scorecard
A simple, score-based check-in for your pet’s well-being
How to use this scorecard
For each statement, choose the number that best describes your pet over the past 1–2 weeks. Write that number in the Your Score box on the right. After each section, add the four scores together for a section subtotal. At the end, add all subtotals for your Grand Total out of 80, then check the result chart.
| # | Statement | 1Never | 2Rarely | 3Some- times | 4Usually | 5Always | Your Score |
|---|---|---|---|---|---|---|---|
| Comfort & Pain | |||||||
| 1 | My pet shows no signs of pain or discomfort. | ||||||
| 2 | My pet is not panting, trembling, or shaking while at rest. | ||||||
| 3 | My pet is not vomiting or showing signs of nausea. | ||||||
| 4 | My pet has no recurring diarrhea or trouble urinating. | ||||||
| Comfort & Pain Subtotal (out of 20) | |||||||
| Appetite & Hydration | |||||||
| 5 | My pet eats meals willingly, without needing coaxing or hand-feeding. | ||||||
| 6 | My pet drinks water normally throughout the day. | ||||||
| 7 | My pet is maintaining a healthy, stable weight. | ||||||
| 8 | My pet enjoys treats and food rewards. | ||||||
| Appetite & Hydration Subtotal (out of 20) | |||||||
4127 Sepulveda Blvd, Culver City, CA 90230 • 310-554-8088 • info@cuddlepawsvet.comPage 1 of 3
Cuddle Paws Veterinary • Quality of Life Scorecard
| # | Statement | 1Never | 2Rarely | 3Some- times | 4Usually | 5Always | Your Score |
|---|---|---|---|---|---|---|---|
| Mobility & Activity | |||||||
| 9 | My pet moves around the home with ease. | ||||||
| 10 | My pet can get up and lie down without help. | ||||||
| 11 | My pet is as active as normal for their age. | ||||||
| 12 | My pet still goes outside, plays, or moves as they used to. | ||||||
| Mobility & Activity Subtotal (out of 20) | |||||||
| Mood & Engagement | |||||||
| 13 | My pet greets and interacts with the family. | ||||||
| 14 | My pet wants to play or engage in favorite activities. | ||||||
| 15 | My pet seems alert, bright-eyed, and content. | ||||||
| 16 | My pet has more good days than bad days. | ||||||
| Mood & Engagement Subtotal (out of 20) | |||||||
4127 Sepulveda Blvd, Culver City, CA 90230 • 310-554-8088 • info@cuddlepawsvet.comPage 2 of 3
Cuddle Paws Veterinary • Quality of Life Scorecard
Your Result
Grand TotalAdd all four section subtotals together.
/ 80
What your score means
| Score | What it means | Recommended next step |
|---|---|---|
| 65 – 80 | Thriving | Your pet’s quality of life looks excellent. Continue regular checkups and watch for changes. |
| 50 – 64 | Generally Good | Some areas of concern. Repeat this scorecard in 2 weeks and share the results with our team. |
| 35 – 49 | Declining | Your pet’s comfort is at risk. Please schedule a quality-of-life check-in with Cuddle Paws. |
| 16 – 34 | Concerning | Your pet may be suffering. Please reach out to us as soon as possible to discuss next steps. |
Notes & observations
Use this space to record changes, questions, or things you’d like to discuss with the Cuddle Paws team.
We’re here to help.
Bring this completed scorecard to your next appointment, or reach out anytime with questions about your pet’s comfort and care.
Call: 310-554-8088Email: info@cuddlepawsvet.comVisit: 4127 Sepulveda Blvd, Culver City, CA 90230
4127 Sepulveda Blvd, Culver City, CA 90230 • 310-554-8088 • info@cuddlepawsvet.comPage 3 of 3
Owner Restraint Consent Form
Please read carefully and sign before the procedure begins
Cuddle Paws Veterinary4127 Sepulveda Blvd, Culver City, CA 90230
310-554-8088 | info@cuddlepawsvet.com
310-554-8088 | info@cuddlepawsvet.com
Patient & owner information
â– Important - read carefully before signing
Even calm pets can bite or scratch when in pain or frightened.
Cuddle Paws Veterinary is NOT liable for injuries you sustain while restraining your pet.
What owner restraint means & risks
By signing, you agree to hold your pet during procedures and follow all staff instructions.
- My pet may bite or scratch me - even if they have never done so before.
- Stress or pain can cause pets to behave unpredictably, regardless of usual temperament.
- Cuddle Paws Veterinary and its staff hold NO liability for any injury I sustain.
- The clinic may take over restraint at any time. I may withdraw consent at any time.
Release of liability
I voluntarily request to physically restrain my pet. I have read and understood all risks above.
I release Cuddle Paws Veterinary, its veterinarians, technicians, and staff from all liability
for any injury I sustain as a result of restraining my pet at this facility.
I release Cuddle Paws Veterinary, its veterinarians, technicians, and staff from all liability
for any injury I sustain as a result of restraining my pet at this facility.
Consent - check both boxes before signing
Signatures
Owner / Guardian Signature
Staff Witness Signature
Cuddle Paws Veterinary - Owner Restraint Consent - File in patient record after signingRev. 2025
Diagnostic test protocols
Client instructions for tests that need fasting, timed samples or a drop-off. Print one and go over the timings at the desk before the client leaves.
Liver
Bile Acids
Diabetes
Blood Glucose Curve
Adrenal
High-Dose Dexamethasone Suppression
Adrenal
Low-Dose Dexamethasone Suppression
Thyroid
Thyroid Panel (Total T4)
GI / pancreas
TLI / B12 / Folate Panel
Specialty referral lists
By discipline, within about five miles of the clinic. Print the sheet for the client and note the referral in the patient record.
Specialty referral
Behavior
Specialty referral
Cardiology
Specialty referral
Dentistry & Oral Surgery
Specialty referral
Dermatology & Allergy
Specialty referral
Exotics, Avian & Reptile
Specialty referral
Internal Medicine
Specialty referral
Neurology
Specialty referral
Oncology
Specialty referral
Ophthalmology
Specialty referral
Rehabilitation
Specialty referral