1a. Level of consciousness
— select score —
0 — Alert
1 — Not alert; arousable by minor stimulation
2 — Not alert; requires repeated stimulation to attend
3 — Responds only with reflex motor or totally unresponsive
Score 0–3.
1b. LOC Questions (month & age)
— select score —
0 — Answers both correctly
1 — Answers one correctly
2 — Answers neither correctly
Ask two orientation questions (e.g., month, age).
1c. LOC Commands (2 simple commands)
— select score —
0 — Performs both tasks correctly
1 — Performs one task correctly
2 — Performs neither task correctly
Give two simple commands (e.g., "open and close eyes", "grip and release hands").
2. Best gaze
— select score —
0 — Normal
1 — Partial gaze palsy
2 — Forced deviation
Assess horizontal eye movements.
3. Visual fields
— select score —
0 — No visual loss
1 — Partial hemianopia
2 — Complete hemianopia
3 — Bilateral hemianopia (blind)
Confrontation testing for hemianopia or quadrantanopia.
4. Facial palsy
— select score —
0 — Normal
1 — Minor paralysis (flattened nasolabial fold)
2 — Partial paralysis
3 — Complete paralysis
5a. Motor — Left arm
— select score —
0 — No drift
1 — Drift before 10 seconds
2 — Some effort against gravity
3 — No effort against gravity
4 — No movement
5b. Motor — Right arm
— select score —
0 — No drift
1 — Drift before 10 seconds
2 — Some effort against gravity
3 — No effort against gravity
4 — No movement
6a. Motor — Left leg
— select score —
0 — No drift
1 — Drift before 5 seconds
2 — Some effort against gravity
3 — No effort against gravity
4 — No movement
6b. Motor — Right leg
— select score —
0 — No drift
1 — Drift before 5 seconds
2 — Some effort against gravity
3 — No effort against gravity
4 — No movement
7. Limb ataxia
— select score —
0 — Absent
1 — Present in one limb
2 — Present in two limbs
8. Sensory
— select score —
0 — Normal
1 — Mild-to-moderate sensory loss
2 — Severe-to-total sensory loss
9. Best language
— select score —
0 — No aphasia
1 — Mild-to-moderate aphasia
2 — Severe aphasia
3 — Mute or global aphasia
10. Dysarthria
— select score —
0 — Normal
1 — Mild-to-moderate dysarthria
2 — Severe dysarthria or mute
11. Extinction & inattention (neglect)
— select score —
0 — No neglect
1 — Partial neglect
2 — Severe neglect
