The PAC Profile® Assessment

Date:

Athlete:

Location:

Pre-PAC Assessment Notes:

Phase 1: Warm-up Exercises

Exercise Total Sets # of Reps Current Adaptive

Performed (Best Set) Baseline Notes
(Prompt Level (Level of
Needed) Motivation)
Hurdle Steps
Cone
Touches
Bear
Walk/Crawl
Overhead
Band Walk
Walking Band
Pulls
CfBM Key (When to Progress)

Exercise CfBM
Sets/Reps
Hurdle Steps 3/5
Cone Touches 3/6
Bear Walk/Crawls 3/ 10 ft
forward
Overhead Band Walk 3/ 20 ft
round trip
Walking Band Pulls 3/ 20 ft
round trip
Phase 2: Dynamic Movement

Exercise Total Sets # of Reps Current Adaptive

Performed (Best Set) Baseline Notes
(Prompt Level (Level of
Needed) Motivation)
Dynamax Ball
Push Throws
Dynamax Ball
Overhead
Throws
Dynamax Ball
Scoop
Throws
Rope Swings
Walking
Band Pulls

CfBM Key (When to Progress)

Exercise CfBM
Sets/Reps
Dynamax Ball Push Throws 3/10
Dynamax Ball Overhead Throws 3/10
Dynamax Ball Scoop Throws 3/ 10
Rope Swings 3/ 20
Phase 3: Strength/Stability/Strength Endurance

Exercise Total Sets # of Reps Current Adaptive

Performed (Best Set) Baseline Notes
(Prompt Level (Level of
Needed) Motivation)
Squat
Sandbell
Overhead
Press
Standing or
Half-Kneeling
Band Pull-
Down
Standing
Band Row
Farmers Walk
Chest Carry

CfBM Key (When to Progress)

Exercise CfBM
Sets/Reps
Squat 3/10
Sandbell Overhead Press 3/10
Standing or Half-Kneeling Band Pull-Down 3/ 10
Standing Band Row 3/ 10
Farmers Walk 3/ 20 ft
Round
Trip
Chest Carry 3/ 20 ft
Round
Trip
*Phase 4: Games and Preferred Activities
*If Applicable

Game/Exercise/Activity Progression/Regression Level of Verbal

Notes Motivation Requests(?)
(observed)
Cone Carnage

Preferred Exercises

Other (Specify)