Bloom Pediatrics
Nature. Nurture. Bloom.
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Printing Power Group follow-up survey

In this group, children develop proper formation and sizing of letters and proper spacing between letters when writing words. They will also learn proper alignment of words when writing sentences. We use Handwriting Without Tears®, developmentally appropriate, multi-sensory curriculum for writing instruction.

printing power! handwriting group
follow-up survey

PRINTING POWER! FOLLOW-UP SURVEY *
My child participated in the following group:
PARENT INFORMATION
Parent Name *
Parent Name
Phone *
Phone
CHILD INFORMATION
Child Name *
Child Name
Date of Birth *
Date of Birth
FOLLOW-UP SURVEY
You will be asked these questions again at the conclusion of the group. This information will help us measure your child’s progress and overall group effectiveness. Please rate how much you agree or disagree with the following statements.
1. My child can properly form the uppercase letters of the alphabet. *
2. My child can properly form the lowercase letters of the alphabet. *
3. My child uses proper sizing of letters when writing words. *
4. My child uses proper spacing between letters when writing words. *
5. My child uses proper alignment of letters when writing words. *
6. My child uses proper spacing between words when writing sentences. *
7. My child uses proper alignment of words when writing sentences. *
ADDITIONAL INFORMATION
Would you like us to contact you to discuss any information you provided in this survey? *