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0: None; 1: Mild; 4: Intermittent; 7: Constant
—
0: None; 1: Not visible; 4: Moderate; 7: Severe
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0: None; 1: Barely perceptible; 4: Beads on forehead; 7: Drenching
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0: None; 1: Mildly anxious; 4: Moderately anxious; 7: Panic
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0: Normal; 1: Somewhat normal; 4: Moderately fidgety; 7: Paces
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0: None; 1: Very mild; 4: Moderate hallucinations; 7: Continuous
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0: None; 1: Very mild; 4: Moderate hallucinations; 7: Continuous
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0: None; 1: Very mild; 4: Moderate hallucinations; 7: Continuous
—
0: None; 1: Very mild; 4: Moderate; 7: Severe
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0: Oriented; 1: Uncertain date; 2: Disoriented to date; 3: Disoriented to place/person
Complete all 10 CIWA-Ar criteria to calculate a result.