| Exam Variable | Score |
|---|
| 1. Level of consciousness |
| 1a. Alert | 0 |
| Not alert, but arousable by minor stimulation | 1 |
| Not alert, requires repeated stimulation to attend | 2 |
| Coma or responds only with reflex motor or autonomic effects | 3 |
| 1b. Ask the patient the month and their age |
| Answers both correctly | 0 |
| Answers one correctly | 1 |
| Answers both incorrectly | 2 |
| 1c. Ask the patient to open/close eyes AND grip/release non-paretic hand |
| Performs both tasks correctly | 0 |
| Performs one task correctly | 1 |
| Performs neither correctly | 2 |
| 2. Assess horizontal gaze |
| Normal | 0 |
| Partial gaze palsy (one or both eyes) | 1 |
| Complete gaze palsy or forced deviation | 2 |
| 3. Visual field testing |
| No visual loss | 0 |
| Partial hemianopia | 1 |
| Complete hemianopia | 2 |
| Bilateral hemianopia (including cortical blindness) | 3 |
| 4. Facial palsy testing (ask pt to show teeth, raise eyebrows, and close eyes) |
| Normal symmetrical movement | 0 |
| Minor paralysis (flattened nasolabial fold, asymmetry on smiling) | 1 |
| Partial paralysis (near or total paralysis of lower face) | 2 |
| Complete paralysis (absence of upper and lower facial movement) | 3 |
| 5. Arm motor function (palms down with scoring of right and left individually) |
| No drift (limb maintained at 90°[standing] or 45°[sitting] for 10 sec) | 0 |
| Drift < 10 sec, but not hitting bed or other support | 1 |
| Some effort against gravity, but cannot get to or maintain elevation | 2 |
| No effort against gravity | 3 |
| No movement | 4 |
| 6. Leg motor function (score right and left individually) |
| No drift (limb maintained at 30°for 5 sec) | 0 |
| Drift < 5 sec, but not hitting bed | 1 |
| Some effort against gravity, but cannot get to or maintain elevation | 2 |
| No effort against gravity | 3 |
| No movement | 4 |
| 7. Limb ataxia (finger to nose and heel to shin performed bilaterally) |
| Absent | 0 |
| Present in one limb | 1 |
| Present in two limbs | 2 |
| 8. Sensory loss (pinprick testing of arms, legs, trunk, and face with bilateral comparison) |
| Normal; no sensory loss | 0 |
| Mild to moderate; dullness or loss of pain, but aware of touch | 1 |
| Severe to total loss; no pain and no awareness to touch | 2 |
| 9. Best language (assessed by describing picture, naming items, and reading sentences) |
| No aphasia | 0 |
| Mild to moderate aphasia; loss of fluency, without limitation of ideas | 1 |
| Severe aphasia; fragmented expression | 2 |
| Global aphasia (or mute); incomprehensible speech | 3 |
| 10. Dysarthria (assessment of articulation through reading or repeating words) |
| Normal | 0 |
| Mild to moderate slurring | 1 |
| Severe slurring as to be unintelligible | 2 |
| Intubated or other physical barrier | 3 |
| 11. Extinction and inattention (formerly neglect) |
| No abnormality | 0 |
| Inattention or extinction to bilateral simultaneous stimulation in one of the sensory modalities | 1 |
| Profound hemi-inattention; orients to one side of space only | 2 |
14 = major stroke