HyperEmesis Level Prediction (HELP) Score Assessment

  • 0 (None)1 (Mild)23 (Moderate)45 (Severe)
  • 01-23-56-89-1213 or more
  • 01-23-56-89-1213 or more
  • SameMore often due to IV fluids; light colorSlightly less often, and normal colorOnce every 8 hours; slightly dark yellowLess than every 8 hours or darkerRarely; dark, blood; foul smell
  • 0 (None)1 (Mild)23 (Moderate)45 (Severe)
  • 01-2 (hours are slightly less)3-4 (can work part time)5-7 (can only do a little work)8-10 (can’t care for family)11+ (can’t care for myself)
  • NormalTired but mood is okSlightly less than normalIt’s tolerable but difficultStruggling: moody, emotionalPoorly: irritable depressed
  • Same; no weight lossTotal of about 3 meals & 6+ cups fluidTotal of about 2 meals & some fluids1 meal & few cups fluid; only fluid or only foodVery little, <1 meal/minimal fluids; or frequent IVNothing goes or stays down, or daily IV/TPN/NG
  • No medsAlwaysNearly AlwaysSometimesRarelyNever/IV/SQ (subQ pump)
  • GreatBetterAbout SameWorseMuch WorseSo Much Worse
  • 0%1%2%3%4%5%
    Estimate or use our weight loss calculator to determine amount lost over the LAST 7 days. Weight loss calculator: www.hyperemesis.org/weight-loss-calculator/
  • 012345+
    Each medication for vomiting is 1 point. Zofran + Phenergan + IV fluids = 3

HELP (HyperEmesis Level Prediction) Score

The HyperEmesis Level Prediction Score was developed by the HER Foundation to quantify HG symptoms into a score that can be trended over time to monitor progress and response to treatment. Download the free HG Care App to automatically calculate your HELP Score, track your treatments, and alert you to concerning changes in your symptoms.

  • Scores below 20 indicate either no HG (morning sickness) or mild HG.
  • Scores between 20 - 32 indicate symptoms are in the moderate range.
  • Scores between 33 - 60 indicate severe symptoms that need aggressive care.
HyperEmesis Level Prediction Score