Grip Strength Assessment Form
Please complete this form to document and assess your grip strength as part of a physical evaluation.
Participant Full Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Contact Email
*
example@example.com
Hand Dominance
*
Right-handed
Left-handed
Ambidextrous
Are there any current injuries or health conditions that may affect your grip strength?
*
No
Yes (please specify below)
If yes, please specify the injury or condition:
Grip Strength Measurements (in kg): Please record up to three trials for each hand.
*
Rows
Trial 1
Trial 2
Trial 3
Left Hand
Right Hand
Perceived Effort Level (0 = No effort, 10 = Maximum effort)
*
No effort
0
1
2
3
4
5
6
7
8
9
Maximum effort
10
0 is No effort, 10 is Maximum effort
Did you experience any pain or discomfort during the assessment?
*
No
Yes (please describe below)
If yes, please describe the pain or discomfort:
Assessor's Observations or Comments
Participant Signature (or Parent/Guardian if under 18)
*
Submit Assessment
Submit Assessment
Should be Empty: