Global Assessment of Functioning (GAF) Scale

Domain 1 – 10 11 – 20 21 – 30 31 – 40 41 – 50 51 – 60 61 – 70 71 – 80 81 – 90 91 – 100
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