Please note that 0 would represent the pain indicator is not present at all and 10 would represent the worst manifestation of the pain indicator.

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