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 |