Dysgraphia Assessment — Student Response Pages
Print all pages and give to student before beginning the screener

Student Response Pages — Print Before Assessment

These pages are for the student to write on during the dysgraphia screener. Print the full set and have them ready before beginning. Do not show the student the page titles or tasks in advance.

1
Name & Date / Alphabet Sequence
2
Sentence Copy & Sentence Dictation
3
Writing Sample (Prompt Response)
4
Spelling List & Number Sequence
Dysgraphia Assessment — Student Response
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Student Name
Date
Task 1 — Name Writing
Task 2 — Alphabet Sequence

Write the letters of the alphabet in order. Write in lowercase. If you don't know a letter, skip it and go to the next.

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Dysgraphia Assessment — Student Response
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Task 3 — Sentence Copy

Copy the sentence below in your best handwriting.

The quick brown fox jumps over the lazy dog.
Task 4 — Sentence Dictation

Listen carefully. Write the sentence your examiner reads to you.

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Dysgraphia Assessment — Student Response
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Task 5 — Writing Sample

Write about what your examiner asks you to write about. You have 5 minutes.

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Dysgraphia Assessment — Student Response
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Task 6 — Spelling List

Write each word your examiner says.

1.
2.
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10.
Task 7 — Number Sequence (optional)

Write the numbers 1 through 20.

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