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© Your Therapy Source Inc
Your Therapy Source, Inc.43 South Main StreetSchaghticoke, NY 12154www.yourtherapysource.com
Copyright © 2015 by Your Therapy Source, Inc. All rights reserved.
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© Your Therapy Source Inc
General Information on RubricsA rubric is a scoring guide to judge performance on a specific task. A skill is broken down into different components and a numerical value is given to each component. The performance is then scored by totaling the sum of the numerical values. Rubrics are used as assessment tools to evaluate an individual's ability to complete a task. By using the rubric, each individual can be scored based on the same criteria. In addition, rubrics help to inform the individual of what is expected of them to complete the task. This encourages feedback and self assessment on the task.
The goals of a rubric are to:• assess performance on completing complex tasks• assess changes in performance over time in one individual• inform the individual of what is expected for the task• increase consistency of scoring• promote learning
Research on intra-rater reliability (the same person scoring the rubric repeatedly), indicates that rubrics seem to help raters in achieving high internal consistency when scoring performance tasks. Research indicates that the inter-rater reliability (different people score the same rubric) of rubrics is not sufficient (greater than 70% agreement between raters). Although, in certain circumstances, if two people score the same rubric with a greater than 70% agreement that is suitable to validate a rubric. The reliability of the rubric is influenced by how many descriptors there are in the scale: the more descriptors the less reliable the rubric is. Therefore, in general, a rubric with 3 descriptors is more reliable than a rubric with 6 descriptors. In addition, specific rubrics will be more valid than more generic rubrics. Training the individuals who will be scoring the rubric increase the reliability of the rubric. With regards to validity, rubrics do not offer a valid judgment of performance.
Keep in mind that scoring a rubric is not the same thing as performing a formal evaluation of specific tasks. These rubrics, created by Your Therapy Source Inc, have not been formally evaluated for validity and reliability. Although, when many individuals perform the same task and the scoring of that task is specific, the reliability of that assessment should be sufficient.
References: Anders Jonsson, Gunilla Svingby The use of scoring rubrics: Reliability, validity and educational consequences. Educational Research Review 2 (2007) 130–144
HW21 Community. Written-Language Production Standards for Handwriting & Keyboarding (Grades PreK-8) © 2014, used with
© Your Therapy Source Inc
permission. For more information on the Standards, please see www.hw21summit.com
© Your Therapy Source Inc
Suggested Uses for RubricsAssessment: Assess an individual's performance on a specific task. During the initial visit with the individual the rubrics could be scored to establish a baseline score. If the individual scores well on a specific rubric that area most likely does not need to be addressed.
Assessment of Change: Track an individual's performance on a certain task over time. A rubric can be scored again at any time.
Promote Learning: Explain the scoring scale of the rubric to the individual. This provides the individual with feedback on what is expected of him/her and allows for self assessment.
Establish Criteria: Therapists could choose to establish entrance and exit criteria for therapy services based on certain rubric scores.
Goal Setting: Use a rubric score to establish a quantitative, measurable goal.
How to score the rubrics:1. Document the client's name, therapist's name, date and any adaptive equipment used to complete the task at the top of the page.2. Before scoring the rubric, read all the descriptors in each row to familiarize yourself with each component.3. Score the rubric by marking the descriptors that best matches the individual's performance.4. Write the score in the right hand box for each row.5. Add up the scores from the right hand column in the bottom box.
Reminders: If you alter the rubric by adding or deleting descriptors, make sure you adjust the overall total score.If you are expecting others to score the rubric, remember to train the scorer to help increase reliability.
© Your Therapy Source Inc
PENCIL GRASPClient's Name: Therapist:
Date:
List any adaptive equipment used:
Hand Dominance (if developed): □ Right Handed □ Left Handed
Pencil Grasp 4 3 2 1 0 TOTALPicks up pencil with dominant hand
Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
Unable to pick up pencil
Rotates and shifts pencil into proper position
Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
Unable to rotate or shift pencil
Uses tips of thumb and fingers to hold pencil
Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
Does not use tips of fingers
Ring and pinky finger provide stability
Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
Pinky and ring finger are not tucked
Isolated movements of the thumb, index and middle fingers when writing
Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
No isolated movements
Maintains web space Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
Unable to maintain web space
Normal tension on pencil Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
Always presses too hard or too soft
Maintains efficient grasp throughout writing task
Dynamic tripod grip
Static Tripod Grip 4 finger grip Gross or Palmar grasp
Unable to hold pencil
TOTAL SCORE OUT OF 32 POINTS
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Hand DominanceClient's Name: Therapist:
Date:
List any adaptive equipment used:
Hand Dominance (if developed): □ Right Handed □ Left Handed
Hand Dominance 4 3 2 1 0 ScoreBilateral hand use One side of the body
can do something completely different
than the other side (ie cutting paper) 100%
of the time
One side of the body can do something different than the
other side (ie cutting paper) with verbal
and/or physical cues
Both sides of the body can work
together but doing the same thing (ie walking and
crawling)
Symmetrical movement (both
hands and feet work together)
No voluntary movement of one or
both hands
Uses a dominant hand for all writing tasks
Masters skill 100% of the time
Masters skill 75% of the time
Masters skill 50% of the time
Masters skill 25% of the time
No hand preference at all
Crosses midline to complete tasks
Crosses midline without switching hands 100% of the
time
Crosses midline without switching
hands about 50% of the time
Crosses midline without switching
hands about 25% of the time
Completes tasks on the left side of the
body on the left side and switches hands to complete tasks on the right side of the body
Completes all tasks on the left side of the
body on the left side and completes all tasks on the right side of the body on the right side
Uses one hand as a helper hand
Masters skill 100% of the time
Completes skill 75% of the time
Completes skill 50% of the time
Completes skill 25% of the time
Other hand does not help at all
TOTAL SCORE OUT OF 16 TOTAL POINTS
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Pre-Writing SkillsClient's Name: Therapist: Date:List any adaptive equipment used:Hand Dominance (if developed): □ Right Handed □ Left Handed
Pre-Writing Skills Uses the skill during all
writing/drawing tasks
Draws the line or shape as expected
with Verbal Cueing
Copies the Line/Shape from a
Model
Traces the Line/Shape
Unable to perform the skill
TOTAL
Vertical Lines 4 3 2 1 0
Horizontal Lines 4 3 2 1 0
Diagonal Lines 4 3 2 1 0
Curved Lines 4 3 2 1 0
Squares 4 3 2 1 0
Circles 4 3 2 1 0
Cross 4 3 2 1 0
X 4 3 2 1 0
Triangle 4 3 2 1 0
Diamond 4 3 2 1 0
Other:Other:
TOTAL SCORE:
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Capital Letter Formation A-M
Client's Name: Therapist: Date:List any adaptive equipment used:Hand Dominance (if developed): □ Right Handed □ Left Handed
Letter Writes Correctly 100%
of the time
Writes Correctly 75%
of the time
Writes Correctly 50%
of the time
Writes Correctly 25%
of the time
Identifies Letter
Can Not Identify Letter
TOTALSCORE
A 5 4 3 2 1 0B 5 4 3 2 1 0C 5 4 3 2 1 0D 5 4 3 2 1 0E 5 4 3 2 1 0F 5 4 3 2 1 0G 5 4 3 2 1 0H 5 4 3 2 1 0I 5 4 3 2 1 0J 5 4 3 2 1 0K 5 4 3 2 1 0L 5 4 3 2 1 0M 5 4 3 2 1 0
TOTAL OVERALL SCORE OUT OF 65:
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Capital Letter Formation N-Z
Client's Name: Therapist: Date:List any adaptive equipment used:Hand Dominance (if developed): □ Right Handed □ Left Handed
Letter Writes Correctly 100%
of the time
Writes Correctly 75%
of the time
Writes Correctly 50%
of the time
Writes Correctly 25%
of the time
Identifies Letter
Can Not Identify Letter
TOTALSCORE
N 5 4 3 2 1 0O 5 4 3 2 1 0P 5 4 3 2 1 0Q 5 4 3 2 1 0R 5 4 3 2 1 0S 5 4 3 2 1 0T 5 4 3 2 1 0U 5 4 3 2 1 0V 5 4 3 2 1 0W 5 4 3 2 1 0X 5 4 3 2 1 0Y 5 4 3 2 1 0Z 5 4 3 2 1 0
TOTAL OVERALL SCORE OUT OF 65:
© Your Therapy Source Inc
Lowercase Letter Formation a-m
Client's Name: Therapist: Date:List any adaptive equipment used:Hand Dominance (if developed): □ Right Handed □ Left Handed
Letter Writes Correctly 100%
of the time
Writes Correctly 75%
of the time
Writes Correctly 50%
of the time
Writes Correctly 25%
of the time
Identifies Letter
Can Not Identify Letter
TOTALSCORE
a 5 4 3 2 1 0b 5 4 3 2 1 0c 5 4 3 2 1 0d 5 4 3 2 1 0e 5 4 3 2 1 0f 5 4 3 2 1 0g 5 4 3 2 1 0h 5 4 3 2 1 0i 5 4 3 2 1 0j 5 4 3 2 1 0k 5 4 3 2 1 0l 5 4 3 2 1 0
m 5 4 3 2 1 0TOTAL OVERALL SCORE OUT OF 65:
© Your Therapy Source Inc
Lowercase Letter Formation n-z
Client's Name: Therapist: Date:List any adaptive equipment used:Hand Dominance (if developed): □ Right Handed □ Left Handed
Letter Writes Correctly 100%
of the time
Writes Correctly 75%
of the time
Writes Correctly 50%
of the time
Writes Correctly 25%
of the time
Identifies Letter
Can Not Identify Letter
TOTALSCORE
n 5 4 3 2 1 0o 5 4 3 2 1 0p 5 4 3 2 1 0q 5 4 3 2 1 0r 5 4 3 2 1 0s 5 4 3 2 1 0t 5 4 3 2 1 0u 5 4 3 2 1 0v 5 4 3 2 1 0w 5 4 3 2 1 0x 5 4 3 2 1 0y 5 4 3 2 1 0z 5 4 3 2 1 0
TOTAL OVERALL SCORE OUT OF 65:
© Your Therapy Source Inc
Number Formation 0-10
Client's Name: Therapist: Date:List any adaptive equipment used:Hand Dominance (if developed): □ Right Handed □ Left Handed
Number Writes Correctly 100%
of the time
Writes Correctly 75%
of the time
Writes Correctly 50%
of the time
Writes Correctly 25%
of the time
Identifies Number
Can Not Identify Number
TOTALSCORE
0 5 4 3 2 1 01 5 4 3 2 1 02 5 4 3 2 1 03 5 4 3 2 1 04 5 4 3 2 1 05 5 4 3 2 1 06 5 4 3 2 1 07 5 4 3 2 1 08 5 4 3 2 1 09 5 4 3 2 1 010 5 4 3 2 1 0
TOTAL OVERALL SCORE OUT OF 55:
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Letter/Number Formation for the Letter or Number:_______
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Letter/Number
Formation
5 4 3 2 1 0 TOTALSCORE
Orientation Prints without reversals for all
writing tasks
Prints without reversals when
practicing
Prints without reversals 75% of
the time
Prints without reversals 50% of
the time
Prints without reversals 25% of
the time
Prints reversed every time
Size Prints consistent size for all writing
tasks
Prints consistent size when practicing
Prints consistent size 75% of the
time
Prints consistent size 50% of the
time
Prints consistent size 25% of the
time
Prints inconsistent size
every timeStarting Points (for all letters
except d and e)
Starts at the top 100% of the time
for all writing tasks
Starts at the top 100% of the time when practicing
Starts at the top 75% of the time
Starts at the top 50% of the time
Starts at the top 25% of the time
Does not start at the top
Strokes Completes strokes in correct order
and direction 100% of the time
for all writing tasks
Completes strokes in correct order
and direction 100% of the time when practicing
Completes strokes in correct order
and direction 75% of the time
Completes strokes in correct order
and direction 50% of the time
Completes strokes in correct order
and direction 25% of the time
Strokes are not completed in
correct order and direction
Relationship to the Lines
Prints within the lines 100% of the
time for all writing tasks
Prints within the lines 100% of the
time when practicing
Prints within the lines 75% of the
time
Prints within the lines 50% of the
time
Prints within the lines 25% of the
time
Does not print within the lines
Neatness Prints each stroke neatly and
controlled 100% of the time for all
writing tasks
Prints each stroke neatly and
controlled 100% of the time during
practice
Prints each stroke neatly and
controlled 75% of the time
Prints each stroke neatly and
controlled 50% of the time
Prints each stroke neatly and
controlled 25% of the time
Does not print any stroke neatly
and controlled
TOTAL OVERALL SCORE OUT OF 30 :
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© Your Therapy Source Inc
Overall Handwriting Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left HandedWrites from left to right across the page: □ Yes □ No
Overall Handwriting
5 4 3 2 1 SCORE
Letter Formation All of the letters are formed correctly
Most of the letters are formed correctly (more than 75%)
Some of the letters are formed correctly
(50-75%)
Few of the letters are formed correctly
(25-50%)
Less than 25% of the letters are formed
correctlyPlacement All letters are
oriented correctly on the lines
Most of the writing sample is oriented
correctly on the lines (more than 75%)
Some of the writing sample is oriented
correctly on the lines (50-75%)
Little of the writing sample is oriented
correctly on the lines (25-50%)
Less than 25% of the writing sample is
oriented correctly on the lines
Letter Sizing All letters are sized correctly
Most of the letters are sized correctly (more
than 75%)
Some of the letters are sized correctly
(50-75%)
Few of the letters are sized correctly
(25-50%)
Less than 25% of the letters are sized
correctlySpacing of Letters All letters are spaced
correctlyMost of the letters are
spaced correctly (more than 75%)
Some of the letters are spaced correctly
(50-75%)
Few of the letters are spaced correctly
(25-50%)
Less than 25% of the letters are spaced
correctlyLegibility All letters in the
writing sample are legible
Most of the writing sample is legible (more than 75%)
Some of the writing sample is legible
(50-75%)
Little of the writing sample is legible (25-
50%)
Less than 25% of the writing sample is
legibleSpeed Keeps up with peers
when completing handwritten assignments
Takes 25% longer than peers to
complete handwritten assignment
Takes 50% longer than peers to
complete handwritten assignment
Takes 75% longer than peers to
complete handwritten assignment
Takes more than 75% longer than peers to
complete handwritten assignment
Neatness Writing assignments are always neat
without erasures, torn paper or cross outs
Most (>75%) of the writing assignment is neat without erasures,
torn paper or cross outs
Some (50-75%) of the writing assignment is neat without erasures,
torn paper or cross outs
Little (25-50%) of the writing assignment is neat without erasures,
torn paper or cross outs
Less than 25% of writing assignment is neat without erasures,
torn paper or cross outs
Spacing of Words All words are spaced correctly
Most (>75%) of the words are spaced
correctly
Some (50-75%) of the words are spaced
correctly
Little (25-50%) of the words are spaced
correctly
Less than 25% of the words are spaced
correctlyTOTAL SCORE OUT OF 40:
© Your Therapy Source Inc
Overall Cursive HandwritingClient's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left HandedWrites from left to right across the page: □ Yes □ No
Overall Handwriting
5 4 3 2 1 SCORE
Slant All letters slant forward correctly
Most of the letters slant forward (more
than 75%)
Some of the letters slant forward
(50-75%)
Few of the letters slant forward (25-
50%)
Less than 25% of the letters slant forward
Letter Connections
All letters are connected correctly
Most of the letters are connected correctly
(more than 75%)
Some of the letters are connected correctly
(50-75%)
Few of the letters are connected correctly
(25-50%)
Less than 25% of the letters are connected
correctlyLetter Formation All of the letters are
formed correctly Most of the letters are
formed correctly (more than 75%)
Some of the letters are formed correctly
(50-75%)
Few of the letters are formed correctly
(25-50%)
Less than 25% of the letters are formed
correctlyPlacement All letters are
oriented correctly on the lines
Most of the writing sample is oriented
correctly on the lines (more than 75%)
Some of the writing sample is oriented
correctly on the lines (50-75%)
Little of the writing sample is oriented
correctly on the lines (25-50%)
Less than 25% of the writing sample is
oriented correctly on the lines
Letter Sizing All letters are sized correctly
Most of the letters are sized correctly (more
than 75%)
Some of the letters are sized correctly
(50-75%)
Few of the letters are sized correctly
(25-50%)
Less than 25% of the letters are sized
correctlyLegibility All letters in the
writing sample are legible
Most of the writing sample is legible (more than 75%)
Some of the writing sample is legible
(50-75%)
Little of the writing sample is legible (25-
50%)
Less than 25% of the writing sample is
legibleNeatness Writing assignments
are always neat without erasures, torn
paper or cross outs
Most (>75%) of the writing assignment is neat without erasures,
torn paper or cross outs
Some (50-75%) of the writing assignment is neat without erasures,
torn paper or cross outs
Little (25-50%) of the writing assignment is neat without erasures,
torn paper or cross outs
Less than 25% of writing assignment is neat without erasures,
torn paper or cross outs
Spacing of Letters All letters are spaced correctly
Most of the letters are spaced correctly (more than 75%)
Some of the letters are spaced correctly
(50-75%)
Few of the letters are spaced correctly
(25-50%)
Less than 25% of the letters are spaced
correctlySpacing of Words All words are spaced
correctlyMost (>75%) of the words are spaced
correctly
Some (50-75%) of the words are spaced
correctly
Little (25-50%) of the words are spaced
correctly
Less than 25% of the words are spaced
correctly© Your Therapy Source Inc
TOTAL SCORE OUT OF 45:
© Your Therapy Source Inc
Handwriting SpeedClient's Name: Therapist: Client’s Grade and Age: Date:
List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left HandedText was □ alphabet □ copied sentence □ dictated sentence □ independently composed sentenceTime of test □ 60 seconds □ 90 seconds □ 2 minutes □ other:Text to Be Copied or Dictated (if applicable): i.e. The quick brown fox jumped over the lazy dogs.
Baseline Letters Per Minute (LPM):___________Letters Per Minute Copied for this task:______________
Handwriting Speed 5 4 3 2 1 TOTALSCORE
Letters Per Minute Exceptional improvements from
baseline score
Good improvements from
baseline score
Average improvements from
baseline score
Minimal improvements from
baseline score
No changed noted from baseline score
Letter Formation All of the letters are formed correctly
Most of the letters are formed
correctly (more than 75%)
Some of the letters are formed correctly (50-75%)
Few of the letters are formed correctly(25-50%)
Less than 25% of the letters are
formed correctly
Letter Sizing All letters are oriented correctly
on the lines
Most of the writing sample is oriented
correctly on the lines (more than
75%)
Some of the writing sample is oriented
correctly on the lines (50-75%)
Little of the writing sample is oriented
correctly on the lines (25-50%)
Less than 25% of the writing sample
is oriented correctly on the lines
Placement All letters are sized correctly
Most of the letters are sized correctly (more than 75%)
Some of the letters are sized correctly
(50-75%)
Few of the letters are sized correctly
(25-50%)
Less than 25% of the letters are sized
correctlySpacing of Letters All letters are
spaced correctlyMost of the letters
are spaced correctly (more than 75%)
Some of the letters are spaced correctly
(50-75%)
Few of the letters are spaced correctly
(25-50%)
Less than 25% of the letters are
spaced correctlySpacing of Words All words are
spaced correctlyMost (>75%) of the words are spaced
correctly
Some (50-75%) of the words are
spaced correctly
Few (25-50%) of the words are
spaced correctly
Less than 25% of the words are
spaced correctlyTOTAL SCORE OUT OF 30
© Your Therapy Source Inc
Copying Work
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Copying Work 5 4 3 2 1 SCORELegibility when Near
Point CopyingExcellent Good Average Poor Illegible
Legibility when Far Point Copying
Excellent Good Average Poor Illegible
Legibility when Copying from Dictation
Excellent Good Average Poor Illegible
Speed when Near Point Copying
Completes before peers
Keeps up with peers
Takes 25% longer than
peers
Takes 50% longer than
peers
Takes 75% longer than
peers Speed when Far Point
CopyingCompletes
before peers Keeps up with
peersTakes 25% longer than
peers
Takes 50% longer than
peers
Takes 75% longer than
peers Speed when Copying
from DictationCompletes
before peers Keeps up with
peersTakes 25% longer than
peers
Takes 50% longer than
peers
Takes 75% longer than
peers TOTAL SCORE OUT OF 30:
© Your Therapy Source Inc
Spacing
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Spacing 5 4 3 2 1 SCORELetters All letters are
spaced correctlyMost of the letters
are spaced correctly (more
than 75%)
Some of the letters are spaced correctly (50-75%)
Few of the letters are spaced correctly(25-50%)
Less than 25% of the letters are
spaced correctly
Words All words are spaced correctly
Most of the words are spaced
correctly (more than 75%)
Some of the words are spaced correctly (50-75%)
Few of the words are spaced correctly(25-50%)
Less than 25% of the words are
spaced correctly
Sentences All sentences are spaced correctly
Most of the sentences are
spaced correctly (more than 75%)
Some of the sentences are
spaced correctly (50-75%)
Few of the sentences are
spaced correctly(25-50%)
Less than 25% of the sentences are spaced correctly
Paragraphs All paragraphs are spaced correctly
Most of the paragraphs are spaced correctly (more than 75%)
Some of the paragraphs are spaced correctly
(50-75%)
Few of the paragraphs are spaced correctly
(25-50%)
Less than 25% of the paragraphs are
spaced correctly
TOTAL SCORE OUT OF 20:
© Your Therapy Source Inc
Orientation to the Lines
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Orientation to the Lines Writes all letters correctly within the
lines
Most of the letters are written
correctly within the lines (more than
75%)
Some of the letters are written
correctly within the lines
(50-75%)
Few of the letters are written
correctly within the lines
(25-50%)
Less than 25% of the letters are
written correctly within the lines
SCORE
Capital Letters: start at the top line and end on
the baseline
5 4 3 2 1
Lowercase letters -bdfhklt:
start at the top line and end on the baseline
5 4 3 2 1
Lowercase letters – aceimnorsuvwxz:
start midway between the two lines and end on the
baseline
5 4 3 2 1
Lowercase letters – gjpqy:
start midway between the two lines and end below
the baseline
5 4 3 2 1
TOTAL SCORE OUT OF 20:
© Your Therapy Source Inc
Writing Name
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Writing Name 5 4 3 2 1 SCOREFormation of the letters
of his/her own nameWrites all letters
correctly Most of the letters
are written correctly (more
than 75%)
Some of the letters are written correctly (50-75%)
Few of the letters are written correctly (25-50%)
Less than 25% of the letters are
written correctly
Writes the letters of name from left to right
Writes left to right always
Writes from left to right most of the time (more than
75%)
Writes from left to right some of the
time(50-75%)
Writes from left to right occasionally
(25-50%)
Writes from left to right rarely (less
than 25%)
Capitalizes the first letter of name
Capitalizes first letter always
Capitalizes first letter most of the time (more than
75%)
Capitalizes first letter some of the
time(50-75%)
Capitalizes first letter occasionally
(25-50%)
Capitalizes first letter rarely (less
than 25%)
Writes his/her own name completely
Writes all of the letters in name independently
Writes most of the letters in name
Writes letters in name with some
assistance (ie copies from example or
verbal cues)
Writes letters in name with physical
prompts
Uses a name stamp or sticker
Writes his/her last name Writes all of the letters in name independently
Writes most of the letters in name
Writes letters in name with some
assistance (ie copies from example or
verbal cues)
Writes letters in name with physical
prompts
Uses a name stamp or sticker
TOTAL SCORE OUT OF 25:
© Your Therapy Source Inc
Preschool Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Scribbles to imitate writing with loops and lines (different than pictures)
4 3 2 1
Writes vertical lines from top to bottom 4 3 2 1Identifies and writes at least 2 capital letters with assistance
4 3 2 1
Identifies and writes at least 2 numbers with assistance
4 3 2 1
Colors inside thick lines 4 3 2 1Starts to hold pencil with a three fingered grip
4 3 2 1
Writes most of the letters in his/her own name from left to right with assistance
4 3 2 1
TOTAL SCORE OUT OF 28
© Your Therapy Source Inc
Kindergarten Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Writes basic lines (vertical, horizontal, circle and slant)
4 3 2 1
Letters are formed top to bottom 4 3 2 1Letters are written left to right 4 3 2 1Prints most capital letters with assistance
4 3 2 1
Prints most lowercase letters with assistance
4 3 2 1
Prints numbers 0-9 with assistance 4 3 2 1Uppercase and lowercase letters are oriented correctly with regards to the lines on the paper with assistance
4 3 2 1
Letters have correct spacing with assistance
4 3 2 1
Words have correct spacing with assistance
4 3 2 1
Prints most of the individual capital letters between 5-6 seconds after dictation
4 3 2 1
Prints most of the individual lowercase letters between 5-6 seconds after dictation
4 3 2 1
Prints numbers 0-9 within one minute 4 3 2 1TOTAL SCORE OUT OF 48
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First Grade HandwritingClient's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Independently prints uppercase letters with minimal reversals
4 3 2 1
Independently prints lowercase letters with minimal reversals
4 3 2 1
Independently prints numbers 0-9 and two digit numbers
4 3 2 1
Starts sentences with a capital letter 4 3 2 1Prints end punctuation marks 4 3 2 1Uppercase and lowercase letters are proportionate
4 3 2 1
Prints letters with proper orientation to the lines
4 3 2 1
Prints words with correct spacing of letters 4 3 2 1Prints sentences with correct spacing of words
4 3 2 1
Prints two digit numbers with correct spacing
4 3 2 1
Prints first and last name legibly 4 3 2 1Prints most of the individual capital letters between 3-4 seconds after dictation
4 3 2 1
Prints most of the individual lowercase letters between 3-4 seconds after dictation
4 3 2 1
Prints numbers 0-9 within 20 seconds 4 3 2 1TOTAL SCORE OUT OF 56
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Second Grade Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
All uppercase letters are legible with no reversals
4 3 2 1
All lowercase letters are legible with no reversals
4 3 2 1
Self-evaluation of printing skills using a model
4 3 2 1
Starts sentences with a capital letter 4 3 2 1Uses punctuation throughout sentence 4 3 2 1Prints letters with proper orientation to the lines
4 3 2 1
Prints with proper spacing between letters, words and sentences
4 3 2 1
Prints with indentation for paragraphs 4 3 2 1Prints within margins 4 3 2 1Recognizes there are differences in manuscript and cursive handwriting
4 3 2 1
Speed: Copies text at 25 letters per minute
4 3 2 1
Speed: Prints independently composed sentences within required time frame
4 3 2 1
TOTAL SCORE OUT OF 48
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Third Grade Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Prints all uppercase and lowercase letters legibly
4 3 2 1
Prints words, paragraphs and sentences with proper orientation to the lines
4 3 2 1
Writes four basic cursive lines 4 3 2 1Writes individual uppercase cursive letters with legibility
4 3 2 1
Writes individual lowercase cursive letters with legibility
4 3 2 1
Writes cursive numbers with legibility 4 3 2 1Writes cursive letters with proper slant 4 3 2 1Self-evaluation of cursive legibility using a model
4 3 2 1
Writes cursive words with correct spacing between letters and words
4 3 2 1
Writes sentences in cursive with punctuation
4 3 2 1
Writes paragraphs in cursive within margins and with indentation
4 3 2 1
Speed: Copies text at 45 letters per minute
4 3 2 1
Speed: Prints independently composed sentences within required time frame
4 3 2 1
TOTAL SCORE OUT OF 52
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Fourth Grade Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Manuscript handwriting is legible 4 3 2 1Cursive words are legible 4 3 2 1Sentences and paragraphs are legible in cursive
4 3 2 1
Speed: Copies text at 60 letters per minute
4 3 2 1
Speed: Writes in cursive independently composed sentences within required time frame
4 3 2 1
TOTAL SCORE OUT OF 20
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Fifth Grade Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Manuscript handwriting is legible 4 3 2 1Cursive words are legible 4 3 2 1Sentences and paragraphs are legible in cursive
4 3 2 1
Speed: Copies text at 70 letters per minute
4 3 2 1
Speed: Writes independently composed sentences in manuscript or cursive within required time frame
4 3 2 1
TOTAL SCORE OUT OF 20
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Sixth Grade Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Manuscript handwriting is legible 4 3 2 1Cursive words are legible 4 3 2 1Sentences and paragraphs are legible in cursive
4 3 2 1
Speed: Copies text at 80 letters per minute
4 3 2 1
Speed: Writes independently composed sentences in manuscript or cursive or a combination within required time frame
4 3 2 1
TOTAL SCORE OUT OF 20
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Seventh Grade Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Manuscript handwriting is legible 4 3 2 1Cursive words are legible 4 3 2 1Sentences and paragraphs are legible in cursive
4 3 2 1
Speed: Copies text at 90 letters per minute
4 3 2 1
Speed: Writes independently composed sentences in manuscript or cursive or a combination within required time frame
4 3 2 1
TOTAL SCORE OUT OF 20
© Your Therapy Source Inc
Eighth Grade Handwriting
Client's Name: Therapist: Date:List any adaptive equipment used (including adaptive paper):Hand Dominance (if developed): □ Right Handed □ Left Handed
Skill Exceeds Expectations
Meets Expectations
Below Expectations
Inadequate SCORE
Manuscript handwriting is legible 4 3 2 1Cursive words are legible 4 3 2 1Sentences and paragraphs are legible in cursive
4 3 2 1
Speed: Copies text at 100 letters per minute
4 3 2 1
Speed: Writes independently composed sentences in manuscript or cursive or a combination within required time frame
4 3 2 1
TOTAL SCORE OUT OF 20
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