| Exam | Grading | |||
| Totally accurate | Largely accurate | deficient | insufficient | |
| Correct starting position of patient | ||||
| Explains process to patient | ||||
| Correct stimulus by proximal hand | ||||
| Correct stimulus by distal hand | ||||
| Gives verbal instruction | ||||
| Verbal instruction adapted to patients needs | ||||
| Performance of motion | ||||
| Bodymechanics of therapist | ||||
| Adjusts level of resistance | ||||
| Correct end position | ||||
| Security during demonstration | ||||
| Adequate speed | ||||
| I would rate my performance as (1 - 5) | ||||