Print this page for each subject you test. Place a check mark in the box for the hand, foot, eye or ear that your subject uses in each test.
| Part of Body | Test | Right Side | Left Side |
| Hand | |||
| Write name | ![]() | ![]() | |
| Use scissors | ![]() | ![]() | |
| Throw ball | ![]() | ![]() | |
| Drink from cup (optional) | ![]() | ![]() | |
| Fork to Mouth (optional) | ![]() | ![]() | |
| Foot | |||
| Kick ball | ![]() | ![]() | |
| Step up stair | ![]() | ![]() | |
| Step on object | ![]() | ![]() | |
| Eye | |||
| Look in tube | ![]() | ![]() | |
| Sight a finger | ![]() | ![]() | |
| Look through hole | ![]() | ![]() | |
| Ear | |||
| Listen to whisper | ![]() | ![]() | |
| Listen to box | ![]() | ![]() | |
| Listen through wall | ![]() | ![]() |

| BACK TO: | Sidedness | Experiments and Activities | Table of Contents |