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