One-Arm Push-Up Technique Assessment Checklist Form
Evaluate key aspects of one-arm push-up technique, including stability, control, symmetry, and overall readiness.
Checklist: Key Technique Points Observed
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Wrist aligned under shoulder
Feet positioned wide for balance
Hips remain level
Non-working arm kept off the floor
Body moves as a single unit
Which arm is being assessed?
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Left arm
Right arm
Rate overall body stability during the movement.
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1
2
3
4
5
How well is core engagement maintained throughout?
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Not at all
1
2
3
4
Fully engaged
5
1 is Not at all, 5 is Fully engaged
Symmetry: Does the movement look balanced on both sides?
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Yes, both sides are symmetrical
Some minor differences
Significant asymmetry
Control: Was there any shaking or loss of control?
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No shaking, full control
Minor shaking, mostly controlled
Significant loss of control
Range of Motion Assessment
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Rows
Full range (chest to floor)
Partial range
Limited range
Descent phase
1
2
3
Ascent phase
4
5
6
Breathing technique during repetition
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Consistent and controlled
Occasional breath holding
Erratic or improper breathing
Readiness for progression to advanced variations
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Ready for advanced variations
Needs more practice at current level
Not ready, regress to easier version
Additional notes or observations
Submit Assessment
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