Usually means: Practical, sensible, and clear-thinking.
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We found 4 dictionaries that define the word had head screwed on:

General (1 matching dictionary)
  1. had head screwed on: TheFreeDictionary.com

Computing (1 matching dictionary)
  1. had head screwed on: Encyclopedia

Medicine (1 matching dictionary)
  1. had head screwed on: Medical dictionary

Miscellaneous (1 matching dictionary)
  1. had head screwed on: Idioms


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