The Functional Movement Screen - Gray Cook Movement printable pdf download

The Functional Movement Screen - Gray Cook Movement

The Functional Movement Screen

Scoring Sheet

NAME

DATE

DOB

ADDRESS

CITY, STATE, ZIP

PHONE

SCHOOL/AFFILIATION

SSN

HEIGHT

WEIGHT

AGE

GENDER

PRIMARY SPORT

PRIMARY POSITION

HAND/LEG DOMINANCE

PREVIOUS TEST SCORE

RAW

FINAL

TEST

COMMENTS

SCORE

DEEP SQUAT

HURDLE STEP

INLINE LUNGE

SHOULDER MOBILITY

IMPINGEMENT CLEARING TEST

ACTIVE STRAIGHT-LEG RAISE

TRUNK STABILITY PUSHUP

PRESS-UP CLEARING TEST

ROTARY STABILITY

POSTERIOR ROCKING CLEARING TEST

TOTAL

Raw Score: This score is used to denote right and left side scoring. The right and left sides are scored in five of the

seven tests and both are documented in this space.

Final Score: This score is used to denote the overall score for the test. The lowest score for the raw score (each side)

is carried over to give a final score for the test. A person who scores a three on the right and a two on the left would

receive a final score of two. The final score is then summarized and used as a total score.

The Functional Movement Screen - Gray Cook Movement