Scribd
Upload
280 views1 page

Functional Movement Screen Assessment

The document contains a functional movement screen form that assesses an individual's mobility and stability. It collects personal information and tests several movements, providing space to record raw and final scores for body parts on both sides. A total score is calculated from the lowest scores on each test.

Uploaded by

silvaberrioshellen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
280 views1 page

Functional Movement Screen Assessment

The document contains a functional movement screen form that assesses an individual's mobility and stability. It collects personal information and tests several movements, providing space to record raw and final scores for body parts on both sides. A total score is calculated from the lowest scores on each test.

Uploaded by

silvaberrioshellen
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Functional Movement Screen

Name: Date:

Date of Birth: Contact #:

Address:

Age: Gender: Sex: Height: Weight:

*Please fill up the following if used to screen athletes:

School/Team:

Primary Sport:

Primary Position:

Previous Test Score (if applicable):

Tester’s Name: Tester’s Signature:

Hand Dominance: L R Leg Dominance: L R

Swing Dominance: L R Throw Dominance: L R

SCORING GUIDE

3 Able to perform the movement correctly without compensation.

2 Must compensate in some way to perform the movement.

1 Unable to complete or assume the position to perform the movement.

Test Raw Score Final Score Comments

Deep Squat

L
Hurdle Step
R

L
In-Line Lunge
R

L
Shoulder Mobility
R

Active Straight-Leg L

Raise R

Trunk Stability Pushup

L
Rotary Stability
R

Total Score: ( /21)

Raw Score: Score for the left and right individually.

Final Score: Score per test category. The lowest score per category will be the one carried over to the final score. For example, if the left gets 3
and the right gets 2, the final score will be 2. 

Total Score: Summary of All Final Scores

Powered by
https://Carepatron.com

You might also like