Pain indicators list Questions 1 2 3 4 5 6 7 8 9 10 1. Droopy head 1 2 3 4 5 6 7 8 9 10 2. Droopy ears 1 2 3 4 5 6 7 8 9 10 3. Tucked tail 1 2 3 4 5 6 7 8 9 10 4. Does not want to play 1 2 3 4 5 6 7 8 9 10 5. Lack of social interaction 1 2 3 4 5 6 7 8 9 10 6. Does not enjoy games 1 2 3 4 5 6 7 8 9 10 7. Subtle lack of alertness gradually increasing to a deep apathy (early sign will be subtle) 1 2 3 4 5 6 7 8 9 10 8. Diminished appetite 1 2 3 4 5 6 7 8 9 10 9. Body tension 1 2 3 4 5 6 7 8 9 10 10. Facial tension 1 2 3 4 5 6 7 8 9 10 11. Accepting treats or food gingerly (particularly if pet used to accept them enthusiastically) 1 2 3 4 5 6 7 8 9 10 12. Lack of interest in walks 1 2 3 4 5 6 7 8 9 10 13. Doesn't respond when called 1 2 3 4 5 6 7 8 9 10 14. Worried or sad facial expression 1 2 3 4 5 6 7 8 9 10 15. Ears pulled back or flattened 1 2 3 4 5 6 7 8 9 10 16. Eyes wide open to expose “white of the eye” 1 2 3 4 5 6 7 8 9 10 17. Avoidance of direct eye contact 1 2 3 4 5 6 7 8 9 10 18. Lips may be retracted, exposing the teeth in a submissive grin (dogs) 1 2 3 4 5 6 7 8 9 10 19. Almond shaped eyes (caused by facial tension) 1 2 3 4 5 6 7 8 9 10 20. Whiskers pulled back against cheeks (caused by facial tension) 1 2 3 4 5 6 7 8 9 10 21. Uncomfortable when resting 1 2 3 4 5 6 7 8 9 10 22. Shifts frequently when resting 1 2 3 4 5 6 7 8 9 10 23. Head held abnormally low 1 2 3 4 5 6 7 8 9 10 24. Difficulty getting up 1 2 3 4 5 6 7 8 9 10 25. Excessive panting (particularly when it is not hot) 1 2 3 4 5 6 7 8 9 10 26. Shivering/trembling/shaking 1 2 3 4 5 6 7 8 9 10 27. Unsettled 1 2 3 4 5 6 7 8 9 10 28. Pacing 1 2 3 4 5 6 7 8 9 10 29. Difficulty moving after a long rest 1 2 3 4 5 6 7 8 9 10 30. Difficulty lying down 1 2 3 4 5 6 7 8 9 10 31. Slow or unusual gait 1 2 3 4 5 6 7 8 9 10 32. Limping 1 2 3 4 5 6 7 8 9 10 33. Hunched back 1 2 3 4 5 6 7 8 9 10 34. Compulsive licking or rubbing of a certain body part 1 2 3 4 5 6 7 8 9 10 35. Looking at sides or other body part suddenly and/or worriedly 1 2 3 4 5 6 7 8 9 10 36. Suddenly running away from “nothing in particular” 1 2 3 4 5 6 7 8 9 10 37. Can't jump on couch or bed 1 2 3 4 5 6 7 8 9 10 38. Reluctance to lie down 1 2 3 4 5 6 7 8 9 10 39. Sleeps in a position that avoids a certain body part from touching the ground or bed 1 2 3 4 5 6 7 8 9 10 40. Any change in normal sleep patterns 1 2 3 4 5 6 7 8 9 10 41. Purplish tongue color (NOT gums: tongue) 1 2 3 4 5 6 7 8 9 10 42. ”Guards” a particular body part 1 2 3 4 5 6 7 8 9 10 43. Reluctance to be touched in a certain area 1 2 3 4 5 6 7 8 9 10 44. Reluctance to be picked up 1 2 3 4 5 6 7 8 9 10 45. Lying down at a distance from everybody and somewhat isolated 1 2 3 4 5 6 7 8 9 10 46. Disinterested in surroundings 1 2 3 4 5 6 7 8 9 10 47. Unusual attention seeking 1 2 3 4 5 6 7 8 9 10 48. Flinching when touched in a certain area 1 2 3 4 5 6 7 8 9 10 49. Doesn't rest easily when lying down 1 2 3 4 5 6 7 8 9 10 50. Aggressive behavior to protect a particular area 1 2 3 4 5 6 7 8 9 10 51. Aggressive behavior on a usually docile pet 1 2 3 4 5 6 7 8 9 10 52. Crying when a particular area is touched 1 2 3 4 5 6 7 8 9 10 53. Wakes up at night 1 2 3 4 5 6 7 8 9 10 54. Does not sleep well 1 2 3 4 5 6 7 8 9 10 55. Refusal to go on walks 1 2 3 4 5 6 7 8 9 10 56. Moaning 1 2 3 4 5 6 7 8 9 10 57. Whimpering 1 2 3 4 5 6 7 8 9 10 58. Refusing to eat 1 2 3 4 5 6 7 8 9 10 59. Pressing head against wall (if head pain is present) 1 2 3 4 5 6 7 8 9 10 60. Unable to get up 1 2 3 4 5 6 7 8 9 10 61. Crying in pain 1 2 3 4 5 6 7 8 9 10 62. Teeth clenched, biting down on an object (particularly cats) 1 2 3 4 5 6 7 8 9 10 63. Howling/screaming uncontrollably 1 2 3 4 5 6 7 8 9 10
