When my mom tried to teach me to hand quilt( I was about 18) we were working on a quilt top made from those little pre-printed squares bought at dime stores( remember them?) The pattern was printed on, and I was going down one dot and up to the next. Mom informed me that I was doing it wrong and EACH dot was a full stitch, down and up on the same dot. I took one look at how close those dots were and gave up!! In my 30's I decided trying to make an embroidered quilt , also pre-printed. Mom's church group hand quilted it for me and that is exactly the way they did it. The hand quilting I see done now is not nearly as tiny, but if consistent, it is still beautiful. BTW, I'm 71 to date those times.