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  Please answer each question as best as you can. Answer TRUE if it is true or at least moderately true of your child, or was for substantial time in the past. Answer FALSE if it has not been very true of your child, or was never true.

My child…
1.
Startles easily. no
yes

2.
Complains about scratchy clothing, seams in socks, or labels against his/her skin. no
yes

3.
Doesn’t usually enjoy big surprises. no
yes

4.
Learns better from a gentle correction than strong punishment. no
yes

5.
Seems to read my mind. no
yes

6.
Uses big words for his/her age. no
yes

7.
Notices the slightest unusual odor. no
yes

8.
Has a clever sense of humor. no
yes

9.
Seems very intuitive. no
yes

10.
Is hard to get to sleep after an exciting day. no
yes

11.
Doesn’t too well with big changes. no
yes

12.
Wants to change clothes if wet or sandy. no
yes

13.
Asks a lot of questions. no
yes

14.
Is a perfectionist. no
yes

15.
Notices the distress of others. no
yes

16.
Prefers quiet play. no
yes

17.
Asks deep, thought-provoking questions. no
yes

18.
Is very sensitive to pain. no
yes

19.
Is bothered by noisy places. no
yes

20.
Notices subtleties (something that’s been moved, a change in a person’s appearance, etc.).
no
yes

21.
Considers if it is safe before climbing high. no
yes

22.
Performs best when strangers aren’t present. no
yes

23.
Feels things deeply. no
yes

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