4	Normal speech processes
3	Detectable speech disturbances
2	Intelligible with repeating
1	Speech combined with non vocal communication
0	Loss of useful speech

4	Normal
3	Slight but definite excess of saliva in mouth; may have nighttime drooling
2	Moderately excessive saliva; may have minimal drooling
1	Marked excess of saliva with some drooling
0	Marked drooling; requires constant tissue or handkerchief

4	Normal eating habits
3	Early eating problems - occasional choking
2	Dietary consistency changes
1	Needs supplemental tube feeding
0	NPO (exclusively parenteral or enteral feeding)

4	Normal
3	Slow or sloppy; all words are legible
2	Not all words are legible
1	Able to grip pen but unable to write
0	Unable to grip pen

4	Normal
3	Somewhat slow and clumsy, but no help needed
2	Can cut most foods, although clumsy and slow; some help needed
1	Food must be cut by someone, but can still feed slowly
0	Needs to be fed

4	Normal
3	Clumsy but able to perform all manipulations independently
2	Some help needed with closures and fasteners
1	Provides minimal assistance to caregiver
0	Unable to perform any aspect of task

4	Normal function
3	Independent and complete self-care with effort of decreased efficiency
2	Intermittent assistance or substitute methods
1	Needs attendant for self-care
0	Total dependence

4	Normal
3	Somewhat slow and clumsy, but no help needed
2	Can turn alone or adjust sheets, but with great difficulty
1	Can initiate, but not turn or adjust sheets alone
0	Helpless

4	Normal
3	Early ambulation difficulties
2	Walks with assistance
1	Nonambulatory functional movement
0	No purposeful leg movement

4	Normal
3	Slow
2	Mild unsteadiness or fatigue
1	Needs assistance
0	Cannot do

4	Normal
3	Shortness of breath with minimal exertion (e.g. walking, talking)
2	Shortness of breath at rest
1	Intermittent (e.g. nocturnal) ventilatory assistance
0	Ventilator dependent