0 | 1 | 2 | 3 | 4 | |
---|---|---|---|---|---|
Eye contact | Extremely (≥10 s) | Very much (≥5 s) | Quite a bit (<5 s) | Just a little (eye opening only) | Not at all |
Purposeful actions | Extremely | Very much | Quite a little | Moving only | Not at all |
Awareness of surroundings | Extremely | Very much | Quite a little | Just a little | Not at all |
Restlessness | Calm | Just a little | Quite a little | Very much | Combative |