My hands are tiiiiny, but it’s okay, because I really like to rebind keys and options and crap.
All of my skills are on the numpad. 78945 are weapon skills, 6 is healing, 123 are utilities, 0/*- are profession-things, and . is Elite
“But Chompie,” you say, “Keyboard turning is terrible!” and yes it’s very slow and dumb. But plenty of skills have an animation time where you can’t do anything else, and there’s plenty of time during that to aim yourself with the mouse!
… But yeah I am never ever going to use the Grenade Kit on land.
EDIT: Come to think of it, if I had a self-heal in Guild Wars 1, I always put it on 6. Weird how that worked out.