‘SHORT FORM OF THE GLASGOW COMPOSITE PAIN SCALE Dog's name. Hospital Number Date/Time Surgery YesNo (stu ws aproptt) Procedure or Conon. Inthe cetons to pose ec haere scare each et and es ghee a cr ‘A. Look at dog in Kennel ‘the dog? » ae 9 _cinganymeendrsattame 0 Loonng stwoungerporevares 1 Cryarwnmpeing 2 Ueki wenerpanttane 2 = 3 Mtorenderatiom Chery wei or pal re Tithe case 6 spinal, paleo Rule ib Facute, or where SSSSIanCS required ad comaton do not carr out secton B and proceed to C Please tek tis the case [then proceed tC. 'B. Putlead on dog end ead out of the Kennel. Cf ithas a wound or painful area including abdomen, apply gentle pressure 2 Inches round the ste. nen the dog rsesaiks ist? o oes 7 ma ° o re ‘ Doretire ° tasciomew 4 Color gietare 3 cp ‘ oy 5 D. Overall ‘the dog? ste dog? » oo oop ar coment ernanoyanency Comte ° Indtretornencspenivetscurundege 2 Retess 2 Depesedcrancepenvetostratton 4 Rig 4 vsti Total Score (sistsivevev) =