This manual describes the Wisconsin Sensorimotor Pointing Assessment (WSPA) for individuals with severe communication deficits complicated by other cognitive or motor disabilities, and provides guidelines for its administration. The WSPA was designed to quantify four categories of sensory and motor abilities necessary for initiating and accurately executing finger-pointing to access alternative and augmentative communication aids. The four categories are: (1) abilities which are basic to normal movement patterns; (2) patterns of movement which are atypical; (3) behavioral responses to sensory input; and (4) observation of behavioral arousal level. The WSPA is a structured observational scale appropriate for use by occupational therapists or other skilled observers for individuals ages seven through adult. The manual provides information on the scale's rationale, background, development, reliability, validity, necessary materials, administration techniques, and scaling. It provides operational definitions, assessment criteria, and scoring guidelines for each of the four categories assessed. The assessment form itself is attached. (Contains 17 references.) (DB)