Handwriting Questionnaire Template
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1
2HANDWRITING QUESTIONNAIRE
Name:
Yes
No
Inconsistently
1.
Can child print?
2.
Can child write in cursive?
3.
Can child copy printed letters?
Upper Case
Lower Case
4.
Can child reproduce letters from memory?
5.
Are printed letters of acceptable size?
6.
Are printed letters of consistent size?
7.
Is spacing between words adequate?
8.
Is spacing within words adequate?
9.
Is writing pressure too hard?
Too light?
10.
Is grip troublesome?
11.
Does child use an adapted grip?
12.
Does child complain of being tired when
writing for any length of time?
13.
Can child read what he writes?
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