The patient is rated as having MODERATE DISABILITY as he can care for himself independently but works at a reduced rate and no longer attends school. He sees friends regularly but less than before his accident and has outbursts of anger weekly that disrupt his daily activities but are tolerable. This points to an UPPER MODERATE rating on the GOS-E scale. The GOS and GOS-E ratings are based on the worst element assessed rather than an overall comparison. Independence is measured by ability to handle activities of daily living and emergencies at home as well as using transportation without assistance outside the home.

1. Discussion
The patient is independent, can take care of himself and go out. That
excludes Severe Disability. He has resumed working but at a reduced
rate and does not attend school anymore. Therefore the rating is
MODERATE DISABILITY.
C. Upper Moderate:
Work capacity: Reduced
Social activities: Resumed less than half as often as pre-injury
Disruption or Strain: Frequent (once a week or more but tolerable)
D. Lower Moderate:
Work capacity: Unable to work or only able to work in sheltered workshop
Social activities: Unable or rarely to participate
Disruption or Strain: Constant (daily and intolerable)
He sees his friends on a regular basis but far less than before the
accident. There are outbursts of anger disrupting his daily activities, but
not daily and they are tolerable. This points to Upper Moderate for the
GOS-E.

2. Additional comment
The GOS and GOS-E ratings are driven by the worst
element in the list of questions, not by the overall
comparison.
So if someone still has frequent social interactions, but
cannot go out on themselves (i.e., the person is
dependent), that would result in SEVERE DISABILITY.
The individual's dependence is measured in two areas, one
is independence in basic Activities of Daily Living (ADL) and
able to deal with emergency situation (inside home
independence), the other is able to use transportation
(drive, or call taxi/use public transportation if necessary)
without assistance (outside home independence).
It is uncommon, though, that there is a large discrepancy
in answers, and it is always important to go into more
depth, maybe with family members, to find out whether
seemingly contradictory statements can be supported.