| Score | Description |
| Cerumen amount and thickness | |
| 0 | Cerumen virtually absent |
| 1 | Minor amount of thin plaques of cerumen. No earwax plug. |
| 2 | Moderate amount of variable thickness and confluent plaques of cerumen. No ear wax plug. |
| 3 | Great amount of thick and confluent plaques of cerumen. Presence of small ear wax plug |
| 4 | Massive and occlusive amounts of cerumen |
| Surface of ear canal covered by cerumen | |
| 0 | 0 |
| 1 | 10% - 30% |
| 2 | 30% - 50% |
| 3 | 50% - 75% |
| 4 | 75% - 100% |
| Erythema | |
| 0 | No erythema |
| 1 | Very mild |
| 2 | Mild |
| 3 | Intense |