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Functional Movement Screen Scoring Sheet

The document contains a Functional Movement Screen scoring sheet which includes fields to record a person's name, date of birth, address, height, weight, age, gender, sport, hand/leg dominance, and previous test score. It then lists 7 tests to assess movement including deep squat, hurdle step, inline lunge, shoulder mobility, impingement clearing test, active straight-leg raise, trunk stability pushup, press-up clearing test, rotary stability, and posterior rocking clearing test. Scores for right and left sides of tests are recorded, as well as final scores for each test and a total score.

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0% found this document useful (0 votes)
137 views1 page

Functional Movement Screen Scoring Sheet

The document contains a Functional Movement Screen scoring sheet which includes fields to record a person's name, date of birth, address, height, weight, age, gender, sport, hand/leg dominance, and previous test score. It then lists 7 tests to assess movement including deep squat, hurdle step, inline lunge, shoulder mobility, impingement clearing test, active straight-leg raise, trunk stability pushup, press-up clearing test, rotary stability, and posterior rocking clearing test. Scores for right and left sides of tests are recorded, as well as final scores for each test and a total score.

Uploaded by

hoochmaximus
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

The Functional Movement Screen

Scoring Sheet

NAME DATE DOB

ADDRESS

CITY, STATE, ZIP PHONE

SCHOOL/AFFILIATION
FMS

SSN HEIGHT WEIGHT AGE GENDER

PRIMARY SPORT PRIMARY POSITION

HAND/LEG DOMINANCE PREVIOUS TEST SCORE

RAW FINAL
TEST SCORE SCORE COMMENTS

DEEP SQUAT
L
HURDLE STEP
R
L
INLINE LUNGE
R
L
SHOULDER MOBILITY
R
L
IMPINGEMENT CLEARING TEST
R
L
ACTIVE STRAIGHT-LEG RAISE
R
TRUNK STABILITY PUSHUP

PRESS-UP CLEARING TEST

L
ROTARY STABILITY
R
POSTERIOR ROCKING CLEARING TEST
TOTAL

Raw Score: his score is used to denote right and let side scoring. he right and let sides are scored in ive of the
seven tests and both are documented in this space.
Final Score: his score is used to denote the overall score for the test. he lowest score for the raw score (each side)
is carried over to give a inal score for the test. A person who scores a three on the right and a two on the let would
receive a inal score of two. he inal score is then summarized and used as a total score.

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