| Criteria |
Score 0 Points |
Score 1 Point |
Score 2 Points |
| Face |
No particular expression or smile |
Occasional grimace or frown, withdrawn, uninterested |
Frequent to constant quivering chin, clenched jaw |
| Legs |
Normal position or relaxed |
Uneasy, restless, tense |
Kicking, or legs drawn up |
| Activity |
Lying quietly, normal position, moves easily |
Squirming, shifting, back and forth, tense |
Arched, rigid or jerking |
| Cry |
No cry (awake or asleep) |
Moans or whimpers; occasional complaint |
Crying steadily, screams or sobs, frequent complaints |
| Consolability |
Content, relaxed |
Reassured by occasional touching, hugging or being talked to, distractible |
Difficult to console or comfort |