Student Name:

Grade:

Date:

Basic Locomotor Movement Assessment

DIRECTIONS: Use the following check list to help determine students locomotor abilities. This can be done at
a station with a number of students or privately with one student.
Have the student/students do each of the following tasks either at a station or in front of you privately. Use the
following rubric to mark the progress next to the locomotor skill listed. Use the comments section to write notes
that you may want to share with the students parents or yourself.
Rubric:
DG = Doing Great - uses a mature pattern (or very close to one).
GT = Getting There, however, needs more practice on this skill.
NW = Needs Work. More practice and teaching needed to work towards mature level.

Locomotor Skills Assessment Sheet

Skill/Task
1. Hop five times.
2. Jump five times.
3. Hop on your left foot three
times.
4. Hop on your right foot three
times.
5. Leap.
6. Run and leap.
7. Skip until I tell you to stop.
8. Gallop.
9. Gallop with your right leg in
front.
10. Gallop with your left leg in
front.
11. Run forward.
12. Slide.
13. Slide to the left.
13. Slide to the right.

Rubric Score/Comments

Things to work on

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