Handedness cannot be predicted using a single performance measure, and preference measures of handedness are unreliable because of their subjectivity. This report was designed to examine the relationship between hand performance and hand preference using six different measures: the Waterloo Handedness Questionnaire (a measure of hand preference), the Wathand Box (a performance-based indicator of hand preference), two pegboard tasks, finger tapping, and grip strength and to determine the most accurate performance-based predictor of hand preference as measured by the Waterloo Handedness Questionnaire. Multiple linear regression analysis showed that together, the Wathand Box score and the lateralized place phase of the grooved pegboard task were the most accurate predictors of hand preference.