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Client Name: ____________________________ Center: ________________ Posture Score Sheet Head Left / Right Sex: __________ Age: __________ Date: ___________________ Good - 10 Physiotherapist:________________ Fair - 5 Poor - 0
Shoulders level
horizontally
Spine straight
Ankles
straight ahead
Neck
Neck
Neck
Neck
Upper back
Upper
Upper
Upper
Trunk
Trunk erect
Trunk
Trunk
Abdomen
flat
Abdomen
Abdomen
Abdomen
protruding
Lower back
Lower back
Lower
rolled
Lower
normally curved
back marked