What a z-score measures
A z-score of 0 means the value equals the mean exactly. A z-score of +1 means the value is one standard deviation above the mean; −1 means one standard deviation below. Because the calculation uses the population standard deviation and mean, z-scores are unit-free — you can directly compare a student's exam score to a patient's blood pressure reading once both are converted to z-scores.
The sign of the z-score shows direction: positive values are above average, negative values are below. The magnitude shows how unusual the value is relative to the spread of the distribution.