LOVE LOVE LOVE this packet! It is one of my most favorites that we have. My 7 year old broke his elbow at the end of June- BUMMER SUMMER I tell you! And now he is working on getting full range of his elbow again.... we are at the VERY beginning stages and starting over on his fine motor skills so this packet is fresh on my mind. If you have already purchased this, go re download it because we made a few minor changes. If you do not have this in your classroom you MUST check it out!