Global Assessment of Functioning (GAF) Scale

Domain

1 - 10

11 - 20

21 - 30

31 - 40

41 - 50

51 - 60

61 - 70

71 - 80

Symptom Severity

Persistent danger of severely hurting self or others (e.g., recurrent violence)

Or

serious suicidal act with clear expectation of death.

Or

Some danger of hurting self or others (e.g., suicide attempts without clear expectation of death; frequently violent; manic excitement)

Or

Gross impairment in communication (e.g., largely incoherent or mute)

Or

Behavior is considerably influenced by delusions or hallucinations

Or

serious impairment in communication or judgment (e.g., sometimes incoherent, acts grossly inappropriately, suicidal preoccupation)

Or

Some impairment in reality testing or

communication (e.g., speech is at time illogical, obscure or irrelevant)

Or

Serious symptoms (e.g., suicidal ideation, severe obsessional rituals, frequent shoplifting).

Or

Moderate symptoms (e.g., flat affect and circumstantial speech, occasional panic attacks)

Or

Some mild symptoms (e.g., depressed mood and mild insomnia)

Or

If symptoms are present, they are transient and expectable reactions to psychosocial stressors (e.g., difficulty concentrating after family argument

Absent or minimal symptoms (e.g., mild anxiety before an exam),

Generally satisfied with life.

No more than everyday problems or concerns (e.g., an occasional argument with family members).

No symptoms

Level of Functioning

Persistent inability to maintain minimal personal hygiene

Occasionally fails to maintain minimal personal hygiene (e.g., smears feces)

Inability to function in almost all areas (e.g., stays in bed all day, no job, home or friends)

Major impairment in several areas, such as work or school, family relations, judgment, thinking, or mood (e.g., depressed man avoids friend, neglects family, and is unable to work; child frequently beats up younger children, is defiant at home and is failing in school).

Any serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job).

Moderate difficulty in social, occupational, or school functioning (e.g., few friends, conflicts with co-workers).

Some difficulty in social, occupational or school functioning (e.g., occasional truancy, or theft within the household), but generally functioning pretty well, has some meaningful interpersonal relationships..

No more than slight impairment in social, occupational, or school functioning (e.g., temporarily falling behind in school work).

Good functioning in all areas, interested and involved in a wide range of activities, socially effective,

Superior functioning
in a wide range of activities,
life’s problems never
seem to get out of hand.

Is sought out by others
because of his or her
many positive
qualities