The CRIES scale is a tool used to assess the degree of pain in infants aged two months or younger.

2 minutes to complete


To be eligible to complete the CRIES Scale, you must be at least 18 years of age and have the ability to understand and respond to the survey questions.


Questions for CRIES Scale

Instructions to use CRIES Scale

  • Rate each item on the scale according to the severity of the symptom.
  • Score range from 0 (no symptom present) to 3 (very severe symptom).
  • Record the score for each item on the scale.
  • Total the scores for all items.
  • Scores from 0 to 9 indicate a low level of distress.
  • 10 to 20 indicate moderate distress, and 21 to 30 indicate severe distress.
  • Refer to the scoring summary table for further details.




The answer should be a single choice:
  1. No cry
  2. Cry high pitched, but baby is easily consolable
  3. Cry high pitched, but baby is inconsolable

Requires Oxygen

The answer should be a single choice:
  1. No Oxygen required
  2. <30% oxygen required
  3. >30% oxygen required

Increased vital signs

HR-Heart Rate, BP-Blood pressure

The answer should be a single choice:
  1. Both HR and BP unchanged
  2. HR and BP increased but increased <20% of baseline
  3. HR and BP increased but increased >20% of baseline


The answer should be a single choice:
  1. No grimace present
  2. Grimace alone is present
  3. Grimace and non-cry vocalization is present.


The answer should be a single choice:
  1. Child has been continuously asleep
  2. Child has awakened at frequent intervals
  3. Child has been awake constantly

Scales Similar to CRIES Scale

  • The Resilience in Children’s Experiences Scale (ReCES)
  • Children’s Experiences of Trauma Scale (CETS)
  • Childhood Experiences of Trauma Scale (CETS-IV)
  • The Adolescent Coping With Stress Scale (ACWS)
  • The Childhood Trauma Questionnaire (CTQ)
  • The Adolescent Trauma Coping Scale (ATCS)

Here are some FAQs and additional information

What is the CRIES Scale?

The CRIES Scale is a validated assessment tool used to measure pain intensity in infants and young children. It is a three-point scale ranging from 0 (no pain) to 2 (severe pain). It is used to assess pain in children who cannot communicate their pain verbally.

Who should use the CRIES Scale?

The CRIES Scale is used by health care professionals such as doctors, nurses, and other clinicians who work with infants and young children. It is typically used when an infant or young child is unable to communicate their pain verbally.

What are a few components of the CRIES Scale?

Few components of CRIES Scale is composed of five components: facial expression, cry, body movements, consolability, and sleep.

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