| Score | How Often Does Your Cat: | Comments/Explanation | |
| 1 | Have excessive appetite | ||
| 2 | Have little appetite | ||
| 3 | Vomit (food, hair, bile, other) | ||
| 4 | Have diarrhea | ||
| 5 | Have constipation | ||
| 6 | Defecate outside the litter box | ||
| 7 | Strain or have frequent attempts to urinate | ||
| 8 | Urinate outside the litter box | ||
| 9 | Have blood in the urine | ||
| 10 | Spray urine | ||
| 11 | Grooms excessively | ||
| 12 | Have excessive hair loss | ||
| 13 | Scratch themselves excessively | ||
| 14 | Have discharge from eyes | ||
| 15 | Seem nervous (anxious) | ||
| 16 | Seem fearful | ||
| 17 | Seem aggressive | ||
| 18 | Seem “needy” of contact or attention |