Bilateral Coordination, Handwriting Skills, and Visual Motor Integration Checklist

 

ARURA PAEDIATRIC THERAPY SERVICES

Bilateral Coordination, Handwriting Skills, and Visual Motor Integration Checklist

Child Name: _________________________ Date: __________ Age: _____

Bilateral Coordination Checklist

Skill	How to Assess	Expected Response	Response Observed	Comments
Folding Paper	Provide paper and demonstrate how to fold it along the lines.	Folds paper along target lines accurately.
Weaving String Through Holes	Provide a lacing card with holes and string.	Weaves string through holes with coordination.
Stringing Beads	Provide beads and a string or pipe cleaner.	Strings beads onto the string or pipe cleaner efficiently.
Crosses Midline Spontaneously	Observe during play if the child crosses the midline (e.g., reaching across the body).	Crosses midline without hesitation during activities.
Stabilizes Objects with Non-Dominant Hand	Provide objects that need stabilization with one hand while manipulating with the other.	Uses non-dominant hand to stabilize objects while using the dominant hand.

Handwriting Skills Checklist

Skill	How to Assess	Expected Response	Response Observed	Comments
Pencil Grasp	Observe how the child holds the pencil while drawing or writing.	Uses an appropriate grasp (static or dynamic).
Proper Spacing Between Letters/Words	Provide a writing task and check spacing between letters and words.	Maintains consistent spacing between letters and words.
Alignment Along Writing Baseline	Observe writing to see if letters are aligned with the baseline.	Letters are aligned along the writing baseline.
Sizes/Forms Letters Appropriately	Provide writing tasks and observe letter formation.	Forms letters with appropriate size and shape.
Uses Adequate Pencil Pressure	Observe the pressure applied while writing.	Applies adequate pressure, not too heavy or light.

Visual Motor Integration Checklist

Skill	How to Assess	Expected Response	Response Observed	Comments
Colors Within Lines	Provide coloring sheets with lines and crayons/markers.	Colors within the lines accurately.
Draws Recognizable Parts of a Person	Ask the child to draw a person or specific parts (e.g., head, arms).	Draws recognizable parts of a person.
Imitates/Copies Lines	Provide a model of lines and ask the child to replicate them.	Draws lines similar to the model provided.
Imitates/Copies Shapes	Provide a model of shapes and ask the child to replicate them.	Draws shapes similar to the model provided.
Stacks Blocks into Towers	Provide blocks and observe the child stacking them.	Stacks blocks into a stable tower.
Imitates/Copies Block Designs	Provide a block design and ask the child to replicate it.	Replicates the block design accurately.