Writing by hand is a crucial skill to master while in school. For some kids, learning to handwrite is really challenging. Intervention is necessary, though, when a student's handwriting issues negatively impact their academic performance, confidence, and willingness to participate in learning activities. When evaluating handwriting issues, therapists typically take a diagnostic approach and may advise a referral to occupational therapy. Handwriting is one of the primary functional tasks that occupational therapy specialists focus on. There are several factors to consider when evaluating functional performance.