Name: Class Code:

PATTERN PRIMARY SECONDARY LOAD LEVEL COMMENTS

✓ SHOULDERS o HEAD 1
✓ LUMBAR o KNEES
SQUAT
o HIPS o DEPTH
o ANKLES/FEET o BALANCE

✓ BALANCE o HEAD 2
LUNGE & o LUMBAR ✓ KNEES
TWIST (The
Lunge) o HIPS o DEPTH
o ANKLES/FEET

✓ SHOULDERS o HEAD 2
LUNGE & o LUMBAR o KNEES
TWIST (The
Twist) o HIPS o DEPTH
o ANKLES/FEET ✓ BALANCE

o SHOULDERS ✓ HEAD 3

BEND & PULL o LUMBAR o KNEES

(The Bend) o HIPS o ANKLES/FEET
o DEPTH o BALANCE

✓ SHOULDERS o HEAD 2

BEND & PULL o LUMBAR o KNEES

(The Pull) o HIPS o ANKLES/FEET
o DEPTH o BALANCE

o HEAD o HIPS 2
✓ SHOULDERS o KNEES
PUSH UP
o LUMBAR o ANKLES/FEET
o DEPTH ✓ BALANCE

o DEPTH o HEAD 1

SINGLE LEG o LUMBAR o SHOULDERS 2

SQUAT o HIPS o KNEES 3
o ANKLES/FEET o BALANCE
SCREENING INSTRUCTIONS: Take a video of yourself performing the 5 MCS Movements. Review your
videos and based on the MCS criteria, mark check (✔) the PRIMARY or SECONDARY area that is of
concern when observing your performance in the MCS movement patterns.

SCORING INSTRUCTION
Load Level PRIMARY SECONDARY Considerations

1 2+ and or 4 The numbers in the PRIMARY and SECONDARY columns

depict the number of areas that were marked during the
2 1 and/or 0-3 screen. Select the 1, 2 or 3 in the Load Level column
after adding up the checked areas for each pattern.
3 0 and/or 0-2

SCORING

GOOD MODERATE POOR

17-21 11‐16 7‐10