Functional Reach Tinstruction Form Page 3

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Functional Reach Test and
Modified Functional Reach Score Sheet
Name:___________________________________________________________
Instructions:
Instruct the patient to “Reach as far as you can forward without taking a step”
Score Sheet:
Date
Trial One
Trial Two
Trial Three
Total (average
(Practice)
of trial 2 and 3
only)
Downloaded from
Page 3

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