Report how necessary is the Cunningham test? in PANS / PANDAS (Lyme included) Posted December 29, 2010 Well, when I brought in drawing samples for her, she got it:) My daughter is a drawer, not much of a writer, and to be honest, I don't know many 6-7 year olds who's handwriting is well-developed enough to say it's "good" or "bad." Plus, her name is all of 3 letters long---all easy letters. Not much in the way of a writing sample. AT the same time, I am glad she looks closely into things, but I do worry that there are some infectious or immunological issues she might not be seeing or addressing, as it's just not her area of expertise.