Functional Movement Screen Test Score Sheet Details

The Functional Movement Screen (FMS) is a screening tool used by professionals such as physical therapists, strength and conditioning coaches, and athletic trainers to assess movement dysfunction. FMS identifies movement patterns that may be indicative of an increased risk for injury. The 7 movements evaluated in the FMS are: deep squat, hurdle step, in-line lunge, shoulder stability push-up, rotary stability test, single leg balance, and trunk stability push-up. If you are interested in improving your movement quality or want to eliminate your risk for injury, then I would recommend having a Functional Movement Screen performed. A qualified professional can help you determine if the FMS is right for you.

We've gathered some general information regarding the functional movement screen. It is worth making the effort to read through this before you start filling in your form.

QuestionAnswer
Form NameFunctional Movement Screen
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesfms score sheet excel, fms scoresheet, fms scoring sheet, fms screening sheet

Form Preview Example

FMS

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

 

 

 

 

 

 

 

 

 

 

 

 

 

TEST

 

RAW

 

 

FINAL

 

COMMENTS

 

SCORE

 

SCORE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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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