'bup8D45# ̲*iZ"0@J!EyR21&dۣBM.Zɾ6z4čU'S{[*Ak21`V-_8{wg zmp q`5;( ">T!2MZ)8i.O5tG:hePBڶSWf}'77(F/bOM:>QW_%|a}_A-} Cg:lNuC%;.=_ԧ0C{{u/fzg"+`da,;u"D@}7Ugڹ3g@|q Mvց8{"Zr,!hBqY1;K0"-UHXJ- kf2,=a2j7B8wPTٷ/k)v)d2^y0N;w_MP=YScŁXZ0he@D4J9$s+N@2hT&nsx 7PM/e/:a&!CI֚MʠG+2t&A fEAk&u, Score the examination as listed at the bottom of the page, circling the level based on the score. Upon completion of the form, record the score in the patient’s record and comment on any indicated changes., scoring, give full credit for either all 12 numbers or all 12 ticks. If the patient puts only 4 ticks on the circle, prompt them once to put numbers next to those ticks (12, 3, 6, and 9) for full credit..