Name: ___________________________Date of Screening: _________ MCS Score: _______
Class Teacher: _____________________Class Code: ______________
PATTERN PRIMARY SECONDARY LOAD LEVEL COMMENTS
o SHOULDERS o HEAD 1
o LUMBAR o KNEES 2
SQUAT
o HIPS o DEPTH 3
o ANKLES/FEET o BALANCE
o BALANCE o HEAD 1
LUNGE &
o LUMBAR o KNEES 2
TWIST (The
o HIPS o DEPTH 3
Lunge)
o ANKLES/FEET
o SHOULDERS o HEAD 1
LUNGE &
o LUMBAR o KNEES 2
TWIST (The
o HIPS o DEPTH 3
Twist)
o ANKLES/FEET o BALANCE
o SHOULDERS o HEAD 1
BEND & PULL o LUMBAR o KNEES 2
(The Bend) o HIPS o ANKLES/FEET 3
o DEPTH o BALANCE
o SHOULDERS o HEAD 1
BEND & PULL o LUMBAR o KNEES 2
(The Pull) o HIPS o ANKLES/FEET 3
o DEPTH o BALANCE
o HEAD o HIPS 1
o SHOULDERS o KNEES 2
PUSH UP
o LUMBAR o ANKLES/FEET 3
o DEPTH o BALANCE
o DEPTH o HEAD 1
SINGLE LEG o LUMBAR o SHOULDERS 2
SQUAT o HIPS o KNEES 3
o ANKLES/FEET o BALANCE
SCREENING INSTRUCTIONS: Take a video of yourself performing the 5 MCS Movements. Review your
videos and based on the MCS criteria, mark check (✔) the PRIMARY or SECONDARY area that is of
concern when observing your performance in the MCS movement patterns.
SCORING INSTRUCTION
Load Level PRIMARY SECONDARY Considerations
1 2+ and or 4 The numbers in the PRIMARY and SECONDARY columns
2 1 and/or 0-3 depict the number of areas that were marked during the
3 0 and/or 0-2 screen. Select the 1, 2 or 3 in the Load Level column
after adding up the checked areas for each pattern.
SCORING
GOOD MODERATE POOR
17-21 11‐16 7‐10