Star Cancellation Test

Free Star Cancellation Worksheets for Adults (Printable PDF)

Occupational Therapy

|

Published on

|

Time to read 4 min

Attention difficulties are common after neurological injury and can affect how a person scans information, stays focused, and completes everyday tasks. In adult rehabilitation settings, printable worksheets are often used to provide structured cognitive practice in a format that is easy to understand, low-prep, and repeatable. These worksheets are provided for educational and cognitive practice purposes only and do not constitute treatment or therapy. This article focuses on the Star Cancellation Test and In turn the Shape Cancellation Task worksheets.

Star Cancellation Test

Star Cancellation Test

The Star Cancellation Test is a paper-and-pencil screening test for unilateral spatial neglect, most often used after stroke or other brain injury. In practical terms, it checks whether a person is missing information on one side of space when scanning a page.


In the task, the person is asked to cross out the small stars on a page while ignoring other distractors. One commonly cited version includes 56 small stars mixed with 52 large stars, 13 letters, and 10 short words. Missing more items on one side of the page can suggest spatial neglect.


If you are interested to learn more about this test, check out the Stroke Engine Assessment Page.




Star Cancellation Task
Stroke engine

Shape Cancellation Task (Worksheets)

You are welcome to download our free shape cancellaotoin worksheet printable in PDF format.


A shape cancellation task is a visual attention activity in which the participant scans a page filled with shapes and marks only the target shape while ignoring distractors. This type of task can be used to challenge sustained attention, selective attention, visual scanning, and processing speed in an adult-appropriate worksheet format. In some settings, completion time and error counts may also be recorded for added structure. The task may look simple at first, but they can become meaningfully more challenging depending on the number of shapes on the page, the similarity between target and distractor shapes, the visual density of the worksheet, and whether the task is timed. That is one reason shape cancellation worksheets are commonly used in clinical, educational, and home practice settings. 



Star Cancellation
Rehab Worksheets

This free worksheet is designed to provide structured cognitive practice in a clean, adult-friendly format. It may be useful for:

  • Occupational therapists and speech-language professionals
  • Rehabilitation and community programs
  • Educators working with adult learners
  • Caregivers supporting cognitive practice at home
  • Adults looking for structured, printable cognitive activities sheets are intended for educational and cognitive practice use only. They are not standardized assessments and are not intended for diagnosis or treatment.

Important Note

The free worksheet provided here is a sample. In practice, attention-based tasks are often more useful when they are graded from simpler to more challenging formats.

With shape cancellation tasks, grading may involve:

  • fewer or more shapes on the page
  • minimal versus increased distractors
  • consistent versus varied sizes
  • lower versus higher visual density
  • untimed versus timed completion

This allows the task to better match the individual’s needs, tolerance, and current level of performance. Our Shape Cancellation bundle includes 30 worksheets total, divided into basic, moderate, and complex levels. The basic worksheets use fewer shapes and minimal distractors, the moderate worksheets increase variety and distractors, and the complex worksheets use denser layouts with more variability and greater time challenge.


👉 Below you will find a bundle 30 shape cancellation task worksheets which are products developed by Rehab Worksheets.

The above bundle includes:

  • 30 shape cancellation worksheets
  • clearly graded difficulty levels
  • printable PDF format
  • optional use of completion time and error counts
  • clean, adult-appropriate worksheet design 

If you are looking for a broader set of printable attention worksheets for adults, you can also explore the rest of our attention collection.

Why Shape Cancellation Tasks Are Useful

Shape cancellation worksheets offer a simple and practical way to provide structured visual attention practice. They can be especially helpful when you want an activity that is easy to explain, easy to print, and easy to repeat across different sessions or settings.

They may be used to challenge:

  • sustained attention
  • selective attention
  • visual scanning
  • visual perception
  • processing speed

Additional Worksheets Focused on Attention

Frequently Asked Questions

Are shape cancellation worksheets the same as a standardized assessment?

No. Printable shape cancellation worksheets used for practice are not the same as a formal standardized assessment. They are best described as structured cognitive practice materials or educational worksheets.

Should shape cancellation tasks need to be timed?

Not necessarily. Some people complete them without timing, while others use completion time and error counts for additional structure. Whether timing is used depends on the setting, the purpose of the task, and the person completing the worksheet.

What makes one shape cancellation worksheet harder than another?

Difficulty can increase when there are more distractors, more shape variety, smaller differences between shapes, denser page layouts, overlapping elements, or added time demands. Our bundle is designed with basic, moderate, and complex levels to reflect that progression.

Who can use shape cancellation worksheets?

They may be used as cognitive stimulation or educational materials by therapists, educators, students, seniors, caregivers, and adults seeking structured cognitive practice. They are designed in an adult-appropriate format and are not presented as treatment or diagnostic tools.

Rehab Worksheets

About Rehab Worksheets

Rehab Worksheets was created by an occupational therapist with nearly a decade of experience working with individuals who have sustained traumatic brain injuries. Over the years, one challenge came up again and again: while formal assessments and treatment programs were widely available, there was a noticeable lack of high-quality, thoughtfully designed activities that could be used to provide ongoing cognitive stimulation.

Many of the worksheets that did exist were often rushed, inconsistent, or overly simplistic. They were frequently one-off activities, lacked clear instructions, and rarely offered graded levels of difficulty. Rehab Worksheets was developed to address that gap. Each worksheet is created with the end user in mind. The focus is on clarity, structure, and usability. Exercises that are easy to understand, thoughtfully organized, and designed to offer just the right level of challenge. While no therapeutic outcomes are claimed, the intention is to provide meaningful cognitive stimulation that can be flexibly used to target different areas of cognitive functioning.

Our goal is to make it easier to find activities that feel purposeful, appropriately challenging, and worth completing: resources that support engagement, consistency, and confidence, one worksheet at a time.

Read more