Sensory Insights

Date:

Section A: Sensitivity to Environment (SE)

Instructions

Please check the radio button that best describes the frequency with which you experience the following behaviors:

  • 1 - Almost Never: About 5% or less of the time
  • 2 - Rarely: About 25% of the time
  • 3 - Seldom: About 50% of the time
  • 4 - Occasionally: About 75% of the time
  • 5 - Frequently: About 95% or more of the time
  • 6 - Very Frequently: Some additional explanation if needed
  • 7 - Always: Some additional explanation if needed

Section B: Resilience and Adaptability (RA)

Instructions

Please check the radio button that best describes the frequency with which you experience the following behaviors:

  • 1 - Almost Never: About 5% or less of the time
  • 2 - Rarely: About 25% of the time
  • 3 - Seldom: About 50% of the time
  • 4 - Occasionally: About 75% of the time
  • 5 - Frequently: About 95% or more of the time
  • 6 - Very Frequently: Some additional explanation if needed
  • 7 - Always: Some additional explanation if needed

Section C: Emotional Intensity (EI)

Instructions

Please check the radio button that best describes the frequency with which you experience the following behaviors:

  • 1 - Almost Never: About 5% or less of the time
  • 2 - Rarely: About 25% of the time
  • 3 - Seldom: About 50% of the time
  • 4 - Occasionally: About 75% of the time
  • 5 - Frequently: About 95% or more of the time
  • 6 - Very Frequently: Some additional explanation if needed
  • 7 - Always: Some additional explanation if needed

Section D: Social Interaction (SI)

Instructions

Please check the radio button that best describes the frequency with which you experience the following behaviors:

  • 1 - Almost Never: About 5% or less of the time
  • 2 - Rarely: About 25% of the time
  • 3 - Seldom: About 50% of the time
  • 4 - Occasionally: About 75% of the time
  • 5 - Frequently: About 95% or more of the time
  • 6 - Very Frequently: Some additional explanation if needed
  • 7 - Always: Some additional explanation if needed

Section E: Stress Response (SR)

Instructions

Please check the radio button that best describes the frequency with which you experience the following behaviors:

  • 1 - Almost Never: About 5% or less of the time
  • 2 - Rarely: About 25% of the time
  • 3 - Seldom: About 50% of the time
  • 4 - Occasionally: About 75% of the time
  • 5 - Frequently: About 95% or more of the time
  • 6 - Very Frequently: Some additional explanation if needed
  • 7 - Always: Some additional explanation if needed