The Functional Movement Screen

Scoring Sheet
NAME James Lee DATE 24/4/2020 DOB 15/3/1988

ADDRESS 32 Wallaby Way

CITY, STATE, ZIP: Sydney,
PHONE 9520000
NSW, 2000
FMS

SCHOOL/AFFILIATION: CQU
university
SSN HEIGHT 183cm
WEIGHT 90kg AGE 32 GENDER Male

PRIMARY SPORT Jiu Jitsu PRIMARY POSITION:

Seated

HAND/LEG DOMINANCE Right dominant PREVIOUS TEST SCORE N/A

RAW FINAL
TEST SCORE SCORE COMMENTS

DEEP SQUAT 3 3 All aspects followed guidlines

L 2 2 Left leg internally rotated and knee

HURDLE STEP pushed outwards to get over bar
R 3

L 2 2 Left lunge unstable and slow

INLINE LUNGE
R 3

L 2 2 Left bottom hand limited range  

SHOULDER MOBILITY
R 3

L 1 1 Both sides contralateral knee lifts

ACTIVE STRAIGHT-LEG RAISE at around 80degrees
R 1

TRUNK STABILITY PUSHUP 3 3 Good stability

L 3 3 Followed guidelines – once learnt

ROTARY STABILITY movement performed well
R 3

TOTAL 16

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.