| 1 | Lifts head from supine position† | Unable | Head is lifted, but through side flexion or with no neck flexion. Held for a count of 3 | In supine position, head must be lifted in midline. Chin moves towards chest. Held for a count of 3 |
| 2 | Lying to sitting position† | Unable | Turns into prone position or towards floor | Able to do by lying on side |
| 3 | Sitting† | 2 hands for support | 1 hand for support, for a count of 3 | No hand support, for a count of 3 |
| 4 | Long sitting † | 2 hands for support | 1 hand for support, for a count of 3 | No hand support, for a count of 3 |
| 5 | Right hand to head in sitting position† Hand touches head above level of ears | Unable | Can only bring right hand to head by flexing head | Able to bring right hand to head. Head and trunk remain stable |
| 6 | Left hand to head in sitting position† Hand touches head above level of ears | Unable | Can only bring left hand to head by flexing head | Able to bring right hand to head. Head and trunk remain stable |
| 7 | Two hands to head in sitting position† Hands touch head above level of ears | Unable | Able to place hands on head but only using head flexion or side tilt | Able to place both hands on head, arms free from side. Head and trunk remain stable |
| 8 | Sitting to lying position† | Unable or falls over | Able to lie down by flopping forwards and rolling sideways | Able to lie down in a controlled fashion through lying on side or using clothes |
| 9 | Supine position to side-lying position† | Unable | Can ½ roll only one way: either right or left | Able to ½ roll from supine position both ways |
| 10 | Rolls from supine position to prone position over right † | Unable | Turns to prone position by pulling/pushing on arms | Turns to prone position with free arms to the right |
| 11 | Rolls from prone position to supine position over right † | Unable | Turns to supine position using arms to push/pull with | Turns to supine position with free arms to the right |
| 12 | Rolls from supine position to prone position over left† | Unable | Turns to prone position by pulling/pushing on arms | Turns to prone position with free arms to the left |
| 13 | Rolls from prone position to supine position over left† | Unable | Turns to supine position using arms to push/pull with | Turns to supine position with free arms to the left |
| 14 | Lifts head from prone position† | Unable | Lifts head with arms in a forward position for a count of 3 | Able to lift head up in prone position, arms by side for a count of 3 |
| 15 | Props on forearms† | Unable | Holds position when placed for a count of 3 | Able to achieve prop on elbows with head up for a count of 3 |
| 16 | Props on extended arms† | Unable | Holds position when placed | Achieves hands support in prone position |
| 17 | Four-point kneeling † | Unable | Holds position when placed for a count of 3 | Achieves four-point kneeling – head up for a count of 3 |
| 18 | Crawling† | Unable | Moves all four points only once | Able to crawl forwards – moves all four points twice or more |
| 19 | Gets to standing position from a supine position§ | Unable | Uses furniture | Achieves standing without furniture |
| 20 | Supported standing† | Can stand with hand support but needs knee/hip support in addition for a count of 3, unable | Able to stand with minimal trunk support (not hip) for a count of 3 | Can stand using one hand support for a count of 3 |
| 21 | Stands unsupported† | Stands only momentarily, unable | Stands independently for a count of 3 | Can stand independently for more than a count of 3 |
| 22 | Squats† | Unable | Initiates squat (>10%), uses arm support, or static <3 seconds | Squats with arms free (at least 90° of hip and knee flexion), static > 3 seconds |
| 23 | Gets off a chair without using arms§ | Unable | Uses arms | Gets off independently without using arms |
| 24 | Walks forward‡ | Unable | Walks <10 steps | Walks >10 steps |
| 25 | Stands on toes§ | Unable | Stands <5 seconds | Stands >5 seconds |
| 26 | Walks on toes§ | Unable | Walks with assistance, <3 m | Walks independently, >3 m |
| 27 | Walks on heels§ | Unable | Walks with assistance, <3 m | Walks independently, >3 m |
| 28 | Runs‡ | Unable | Runs <4.5 m | Runs >4.5 m, stops and returns |
| 29 | Hops on both legs§ | Unable | <5 consecutive hops | >5 consecutive hops |
| 30 | Hops on right foot§ | Unable | <5 consecutive hops | >5 consecutive hops |
| 31 | Hops on left foot§ | Unable | <5 consecutive hops | >5 consecutive hops |
| 32 | Hops on alternate legs§ | Unable | Does not hop on alternate legs and arms, <10 consecutive hops | Hops on alternate legs and arms, >10 consecutive hops |
| 33 | Ascends stairs without rail† | Unable | Ascends <4 stairs, arms free, any pattern or with arm support | Ascends 4 stairs, arms free, alternating feet |
| 34 | Descends stairs without rail† | Unable | Descends <4 stairs, arms free, any pattern or with arm support | Descends 4 stairs, arms free, alternating feet |
| 35 | Catches a ball with both hands, stands, ball 25 cm, 5 attempts§ | Unable | Catches a ball with both hands, throws to a distance >1.5 m | Catches a ball with both hands >4 times |
| 36 | Throws a tennis ball, stands, dominant hand, 5 attempts§ | Unable | Throws distance <1.5 m or throws to a distance >1.5 m < 4 times | Throws to a distance > 1.5 m, 4 or 5 times |
| 37 | Kicks ball – dominant leg, stands, ball 20 cm, 3 m, 5 attempts § | Unable | Kicks 3 m< 4 times | Kicks 3 m> 4 times |
| 38 | Stands on right leg with eyes open, hands crossed on chest § | Timer |
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| 39 | Stands on left leg with eyes open, hands crossed on chest § | Timer |
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| 40 | Stands on right leg with eyes closed, hands crossed on chest § | Timer |
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| 41 | Stands on left leg with eyes closed, hands crossed on chest § | Timer |
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