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
Name:
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