Skater Video Analysis Questionnaire
Please fill out all information to the best of your ability to help us design the most beneficial off-ice program for you.
Name: Age:
Phone number: Email Address:
Address:
Parents’ names (if applicable):
Years skating: Coach:
Tests passed:
Highest level consistent jumps:
Moves that are difficult to complete:
Other sports/activities:
What are your short and long term goals for skating?
Hours skated per week and days skated:
Describe you current off-ice training program:
What are you looking for in an off-ice program?
Describe any injuries you have had: when and for how long? Did you have treatment?
Functional Movement Screen Instructions
2) Click on “The FMS” on left sidebar
3) Scroll to the bottom of the page and click on “The FMS Test (Menu)”
4) Video the following movement tests:
* Deep Squat
* Hurdle Step
* In-Line Lunge
* Shoulder Mobility
* Active Straight Leg Raise
* Trunk Stability Push-Up
* Rotational Stability
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Sk8Strong Inc. 2008
