Name: ___________________________Date of Screening: _________ MCS Score: _______
Class Teacher: _____________________Class Code: ______________
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.
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 SCORING
o HEAD INSTRUCTION 1
LUNGE
Load Level& PRIMARY SECONDARY
o LUMBAR o KNEES 2Considerations
TWIST (The
1 o HIPS2+ and or 4 o DEPTH The numbers in the PRIMARY
3 and SECONDARY columns
Lunge)
2 1 and/or 0-3 depict the number of areas that were marked during the
o ANKLES/FEET
3 0 and/or 0-2 o HEAD screen. Select the 1,12 or 3 in the Load Level column
o SHOULDERS
LUNGE & after adding up the checked areas for each pattern.
o LUMBAR o KNEES
SCORING 2
TWIST (The
o HIPS o DEPTH 3
Twist) GOOD MODERATE POOR
17-21 o ANKLES/FEET o BALANCE
11‐16 7‐10
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