Writing Samples and Analysis Worksheet

Student Information

Student Name: ___ Date: __ Grade: _

Sample 1: Timed Narrative (5 minutes)

Prompt: Write about a time when something unexpected happened.

[Space for student writing]

Analysis (For Examiner)

• Word count: _
• Number of complete sentences: _
• Spelling errors: _
• Punctuation errors: _
• Organization (circle): Poor | Fair | Good | Excellent
• Level of detail (circle): Minimal | Basic | Elaborate | Rich
• Signs of avoidance or frustration: ______
• Time until first word written: _

Sample 2: Interest-Based Writing (5 minutes)

Prompt: Write about your favorite game, hobby, or activity.

[Space for student writing]

Analysis (For Examiner)

• Word count: _
• Number of complete sentences: _
• Spelling errors: _
• Punctuation errors: _
• Organization (circle): Poor | Fair | Good | Excellent
• Level of detail (circle): Minimal | Basic | Elaborate | Rich
• Signs of avoidance or frustration: ______
• Time until first word written: _
• Engagement level (1-5): _

Sample 3: Oral vs. Written Response

Directions: First, have the student answer questions orally. Then, provide the same questions in written form for written answers.

Oral Response (Record answers)

1. What would you do if you had an entire day to do anything you wanted?
2. Describe your dream vacation.

Response Notes:
- Length: _
- Detail level: _
- Organization: _
- Fluency: _

Written Response (Same questions)

[Space for student writing]

Analysis:
- Comparison to oral response (circle): Less detailed | Similar | More detailed
- Signs of struggle not present in oral response: ______

Sample 4: Copying vs. Original Writing

Directions: Have student copy the paragraph below exactly as written.

“The large dog ran quickly across the field. He was chasing a small rabbit that had appeared from behind a bush. The rabbit zigzagged through the tall grass. Finally, it disappeared into a hole in the ground.”

[Space for student copying]

Analysis:
- Time to complete: _
- Accuracy (circle): Poor | Fair | Good | Excellent
- Handwriting quality compared to original writing: ____
- Physical signs of fatigue or discomfort: ____

Sample 5: Technology-Assisted Writing

Directions: Have student write responses to the following prompt using speech-to-text or typing.

Prompt: Describe what you would like to be when you grow up and why.

[Space for recording typed/dictated response]

Analysis:
- Word count: _
- Compared to handwritten samples (circle): Less detailed | Similar | More detailed
- Organization compared to handwritten: ____
- Signs of increased engagement/motivation: ____

Examiner’s Summary

Comparative Analysis

• Consistency of errors across samples: ______
• Difference between high-interest vs. standard topics: ______
• Difference between timed vs. untimed tasks: ______
• Impact of technology assistance: ______

Patterns Observed

• Consistent spelling error patterns: ______
• Consistent punctuation challenges: ______
• Consistent organizational challenges: ______
• Signs of avoidance or frustration: ______
• Physical signs (posture, grip, fatigue): ______

Conclusion

Based on these observations, the student’s writing difficulties appear to be primarily related to:
- [ ] Specific learning difficulty (dysgraphia)
- [ ] Motivational factors
- [ ] Mixed profile
- [ ] Needs further assessment

Rationale:

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Recommendations:

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Examiner: ____ Position: ____