Point

Description of items

Not at all

Just a little

Quite a bit

Very much

extremely

1

The child makes eye contact with the caregiver

4

3

2

1

0

2

The child’s actions are purposeful

4

3

2

1

0

3

The child is aware of his/her surroundings

4

3

2

1

0

4

The child is restless

0

1

2

3

4

5

The child is inconsolable

0

1

2

3

4