Jump Into Writing Form

Jump Into Writing Questionnaire

Please complete this participant questionnaire so that we may prepare for your child's participation in our Jump Into Writing program.

Has your child established hand dominance?

Does your child grasp a writing utensil using thumb and fingers?

Can your child form all capital letters?

Can your child form all lower case letters?

Is your child able to attend to a play task for at least 10-15 minutes?

Has your child ever received...?

Please explain any medical diagnosis or other concerns (ie motor development, social skills)