Contact
Tamara Bushnik , PhD, Santa Clara Valley Medical Center at

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Citation
Bushnik, T. (2000). The Level of Cognitive Functioning Scale. The Center for Outcome Measurement in Brain Injury. http://www.tbims.org/
combi/lcfs ( accessed ).*

*Note: This citation is for the COMBI web material. Dr. Bushnik is not the scale author for the LCFS.

LCFS Rating Form

____ (1)

Level I - No Response.
Patient does not respond to external stimuli and appears asleep.

____ (2)

Level II - Generalized Response.
Patient reacts to external stimuli in nonspecific, inconsistent, and nonpurposeful manner with stereotypic and limited responses.

____ (3)

Level III - Localized Response.
Patient responds specifically and inconsistently with delays to stimuli, but may follow simple commands for motor action.

____ (4)

Level IV - Confused, Agitated Response.
Patient exhibits bizarre, nonpurposeful, incoherent or inappropriate behaviors, has no short-term recall, attention is short and nonselective.

____ (5)

Level V - Confused, Inappropriate, Nonagitated Response.
Patient gives random, fragmented, and nonpurposeful responses to complex or unstructured stimuli - Simple commands are followed consistently, memory and selective attention are impaired, and new information is not retained.

____ (6)

Level VI - Confused, Appropriate Response.
Patient gives context appropriate, goal-directed responses, dependent upon external input for direction. There is carry-over for relearned, but not for new tasks, and recent memory problems persist.

____ (7)

Level VII - Automatic, Appropriate Response.
Patient behaves appropriately in familiar settings, performs daily routines automatically, and shows carry-over for new learning at lower than normal rates. Patient initiates social interactions, but judgment remains impaired.

____ (8)

Level VIII - Purposeful, Appropriate Response.
Patient oriented and responds to the environment but abstract reasoning abilities are decreased relative to premorbid levels.