Single-Leg Deadlift Exercise Form Checklist Form
Please complete the Single-Leg Deadlift Exercise Form Checklist Form to track your session and technique.
Date of Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant Full Name
*
First Name
Last Name
Which leg was used for this set?
*
Please Select
Left
Right
Both (alternating)
Warm-up Completed?
Dynamic warm-up done
Number of Sets Completed
*
Repetitions Per Set
*
Weight Used (kg)
Technique Checklist (select all that apply)
*
Back kept straight
Hips level throughout
Controlled descent and ascent
Core engaged
Knee slightly bent
Self-Rating of Form (1 = Poor, 5 = Excellent)
*
1
1
2
3
4
5
5
1 is 1, 5 is 5
Additional Comments or Observations
Submit
Should be Empty: