GCS scoring eyes {Ans: Eyes -4 Open spontaneously -3 Opens on verbal -2 Opens on pain -1 Unresponsive}General Survey: Behavior {Ans: facial expression, mood and affect, speech, speech pattern, dress (appropriate to weather), personal hygiene}Evlauation {Ans: }implementation {Ans: }Planning {Ans: }Highest GCS score {Ans: 15 fully awake}