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A gentle, honest checklist for cat owners weighing end-of-life decisions. Walks through the HHHHHMM Quality-of-Life Scale from Dr. Alice Villalobos (Hurt, Hunger, Hydration, Hygiene, Happiness, Mobility, More good days than bad), the red flag signs that the conversation should start, common terminal conditions, how to talk with your vet, in-home versus clinic euthanasia, aftercare, and grief support including the ASPCA Pet Loss Hotline. There is no wrong choice that prevents suffering. This is here to help you think clearly through one of the hardest decisions of pet ownership.