These activities include options for upgrading and downgrading fine motor skills. For some students, they will be independent with the majority of the activity. You can modify each group based on the student’s level. Included are the following groups 1-Cut and paste school sheet- Cutting skills, name writing, visual perceptual skills, school tool use 2- Fine Motor apple- For work on prehension patterns and finger strengthening 3- Coloring pages-school tool use, endurance, in hand dexterity 4-New