Appearance
Itch Scoring Guide
Daily itch scores help you and your vet see patterns and measure improvement. Use the same time each day (e.g. evening) for consistency.
The 0–10 scale
| Score | Level | What it looks like |
|---|---|---|
| 0–1 | Normal | No real itch; some healthy dogs score around 1. |
| 2–4 | Mild | Occasional scratching or licking; easily distracted. |
| 5–6 | Moderate | Frequent itch when awake; may wake from sleep; no itch during feeding or play. |
| 7–8 | Severe | Prolonged scratching even during feeding or play; multiple areas affected; skin sore. |
| 9–10 | Extreme | Almost constant scratching or chewing; dog rarely calms down. |
Behaviours to watch
- Scratching — Hind feet, often ears, flanks, belly, feet
- Licking or biting — Paws, ankles, nasal folds, armpits
- Rubbing — Body against furniture or floor
- Head-shaking — Ears
- Scooting — If rear areas are involved
Chronic scratching can lead to redness, sores, hair loss, thickened skin, crusts, and odour.
Setting realistic goals
- Some residual itch (e.g. 2–4) may remain even with good control.
- A >50% improvement is often considered a win.
- Plotting scores over weeks shows improvement or flares — use Track the Itch to log daily.
For your vet
Track the Itch uses a validated 0–10 owner-reported pruritus scale. Reports include daily scores, variability, and elevated/extreme day counts for outcome assessment.