| Criterion | Excellent (3 point) | Good (2 point) | Fair (1 point) | Poor (0 point) |
| Rotation deficits (˚) | <5 | 6 - 10 | 11 - 15 | >15 |
| Lateral bending deficits (˚) | <5 | 6 - 10 | 11 - 15 | >15 |
| Cramino fascial asymmetry (no, mild, moderate, severe) | No-Mild | Mild | Moderate | Severe |
| Scar (no, mild, moderate, severe) | No-Mild | Mild | Moderate | Severe |
| Band (no, lateral, clavicular, sterna) | No | Lateral | Lateral, clavicular | Clavicular, sternal |
| Subjective assessment (cosmetic and functional) | Excellent | Good | Fair | Poor |
| Head tilt (CMA) | <5 | 6 - 10 | 11 - 15 | >15 |
| Overall scores | 17 - 21 | 12 - 15 | 7 - 11 | <7 |