Barbell Hip Thrust Technique Assessment Form
Complete this form to assess the execution and technique quality of the barbell hip thrust exercise.
Athlete/Client Full Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Training Experience Level
*
Please Select
Beginner
Intermediate
Advanced
Elite
Barbell Weight Used (kg)
*
Setup Description (bench height, foot placement, padding, etc.)
*
Technique Evaluation Matrix
*
Rows
Poor
Fair
Good
Excellent
Spine Neutrality
1
2
3
4
Foot Placement
5
6
7
8
Bar Path
9
10
11
12
Range of Motion
13
14
15
16
Control/Tempo
17
18
19
20
Overall Technique Rating
*
1
2
3
4
5
Common Errors Observed
Hyperextension at Lockout
Feet Too Far/Close
Bar Rolls Off Hips
Insufficient Range of Motion
Loss of Tension
Other
Coach/Assessor Feedback & Recommendations
Additional Comments
Submit Assessment
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