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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 ​

ScoreLevelWhat it looks like
0–1NormalNo real itch; some healthy dogs score around 1.
2–4MildOccasional scratching or licking; easily distracted.
5–6ModerateFrequent itch when awake; may wake from sleep; no itch during feeding or play.
7–8SevereProlonged scratching even during feeding or play; multiple areas affected; skin sore.
9–10ExtremeAlmost 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.

Track the Itch — clinical evidence diary for chronic itch.