| Question | Answer |
| Level 1 | No Response: Total Assistance
Complete absence of observable change in behavior when presented visual, auditory, tactile, proprioceptive, vestibular or painful stimuli |
| Level 2 | Generalized Response: Total Assistance
Responses to pain or repeated stimuli. Responses are gross movements, may be delayed |
| Level 3 | Localized Response: Total Assistance
demonstrated appropriate responses to stimuli. withdrawal-to pain, blink-to vision, etc. |
| Level 4 | Confused/Agitated: Max Assist
Alert and heightened stated of activity. Mood swings, aggressive behavior. |
| Level 5 | Confused, Inappropriate, Non-Agitated: Max Assist
alert, not agitated but may wander randomly or with a vague intention of going home. |
| Level 6 | Confused, Appropriate: Moderate Assistance
Inconsistently oriented to person, time and place
Able to attend to highly familiar tasks in non-distracting environment for 30 minutes with moderate redirection |
| Level 7 | Automatic, Appropriate: Minimal Assist for ADL
Consistently oriented to person/place, in highly familiar environments. Moderate assist for time
Able to attend to highly familiar tasks in a non-distraction environment for at least 30 minutes |
| Level 8 | Purposeful, Appropriate: Stand-By Assistance
Consistently oriented to person, place and time
Independently attends to and completes familiar tasks for 1 hour in distracting environments
Uses assistive memory devices to recall daily schedule |
| Level 9 | Purposeful, Appropriate: Stand-By Assistance on Request
Independently shifts back and forth between tasks and completes them accurately for at least two consecutive hours
Uses assistive memory devices to recall daily schedule, |
| Level 10 | Purposeful, Appropriate: Mod Independent
Able to handle multiple tasks simultaneously in all environments but may require periodic breaks
Able to independently procure, create and maintain own assistive memory devices |
