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Pain assessment scales 193

A4 Hudson Visual Analogue Scale

Texas A&M University College of Veterinary Medicine

Canine Lameness Assessment Questionnaire

Case Number _________________________________ Owner’s Name ____________________________

Clinician ____________________________________ Dog’s Name _______________________________

Referring Veterinarian _________________________ Evaluator _________________________________

Please Read Instructions First:
· Reply to the questions by placing a vertical mark on the corresponding line. This vertical mark
corresponds to a place between the two extremes. The distance between your mark and the left end will
be measured to quantify your response.

· Please notice the labeling on the left and right sides before marking it.

· When assessing your dog over the past week (or month), mark down his/her usual condition.

· Thank you!

1. How would you describe your overall assessment of your dog in the last month?
| __________________________________________________________ |

poor excellent

2. What kind of mood has your dog been in the last month?
| __________________________________________________________ |
bad good

3. How has your dog’s attitude been in the last month?

| __________________________________________________________ |
negative positive

4. How frequently does your dog display comfort or “happy dog” postures (for example, lying on back
with toy in mouth)? Not applicable: □

| __________________________________________________________ |
rarely frequently

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