Version July 2025
| Level 10: Normal |
| Level 9: Speaks or writes words with clear sense, oriented to person, year, and city or region, but behavior or performance different than normal |
| Level 8: Speaks or writes words with clear sense, but disoriented to person, year, and city or region |
| Level 7: Speaks or writes words or syllables, incomprehensible or confused |
| Level 6: Follows commands (verbally or by demonstration) (eg, open/close eyes, raise arms, say "1, 2, 3") |
| Level 5: Directed gaze to examiner (or responsive vertical eye movement in locked-in syndrome), does not follow any commands (neither verbal nor by demonstration) |
| Level 4: Opens eyes spontaneously or to verbal stimulus or to light touch (no directed gaze), does not follow any commands |
| Level 3: Opens eyes to (strong) tactile stimulus (right or left shoulder, nose), does not follow commands (neither verbal nor by demonstration) |
| Level 2: Localizes to/wards off painful stimuli |
| Level 1: No purposeful response to painful stimuli |
