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© Your Therapy Source Inc

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Your Therapy Source, Inc.43 South Main StreetSchaghticoke, NY 12154www.yourtherapysource.com

Copyright © 2015 by Your Therapy Source, Inc. All rights reserved.

Visit www.YourTherapySource.com

for other school based therapy and special needs resources.

Publisher’s Note: The publisher and author has made every attempt to make sure that the information in this book is correct and up to date. All physical activities require approval from a child’s pediatrician. The author or the publisher will not be liable for any impairment, damage, accident or loss that may occur from any of the suggested activities in this book.

Terms of Use: The electronic books from Your Therapy Source Inc can only be purchased from this site. They are copyrighted by Your Therapy Source Inc. This book can only be used by the original purchaser. The files may not be reproduced or transferred to others in print or electronically. All rights reserved.

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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

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permission. For more information on the Standards, please see www.hw21summit.com

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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.

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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:

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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:

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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:

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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

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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:

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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

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TOTAL SCORE OUT OF 45:

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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

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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:

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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:

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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:

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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:

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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

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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

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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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