SENSORY EXAM CHECKLIST
YES   NO    SENSORY EXAM
            Light Touch
            Pain
            Temperature
            Position Sense
            Vibration Sense
            Cortical Sensation
                   2-Point Discrimination
                   Graphesthesia
                   Stereognosis
                   Tactile Extinction/ Double Simultaneous Tactile Stimulation
Dermatomal Map
                               REFLEXES CHECKLIST
GRADE      REFLEX
           Biceps Reflex
           Triceps Reflex
           Knee Jerk Reflex/ Patellar Reflex
           Ankle Reflex
           Babinski Reflex/ Plantar Reflex
           Finger Flexors/ Hoffman’s Sign
           Clonus
Reflexes Grading
   5+     Sustained clonus
   4+     Very brisk, hyper reflexive, with clonus
   3+     Brisker or more reflexive than normal
   2+     Normal
   1+     Low normal, diminished
    0     No response