Sensory Profile
Winnie Dunn. PhD., OTR, FAOTA
Caregiver Questionnaire
A. General Processing
1. My child is active throughout the day.
2. My child stays quiet and calm in an active environment when compared to same age children.
3. My child is unaware of people coming in and going out of the room.
4. My child's behavior deteriorates when the schedule changes.
5. My child has difficulty getting to sleep and is easily awakened.
6. My child is irritable when compared to same age children.
B. Auditory Processing
7. I have to speak loudly to get my child's attention.
8. My child remains calm, even with sudden, everyday sounds (for example, dog barking. phone).
9. I have to touch my child to gain attention.
10. My child seems unaware of continuous noise in the environment (for example, TV, stereo).
11. My child enjoys making sounds with his/her mouth.
12. My child takes a long time to respond, even to familiar voices.
13. My child startles easily at sound, compared to other children the same age.
14. My child is distracted and/or has difficulty eating in noisy environments.
15. My child ignores me when I am talking.
C. Visual Processing
16. My child enjoys looking at moving or spinning objects (for example, ceiling fans, toys with wheels, floor fans).
17. My child enjoys looking at shiny objects.
18. My child reacts to all faces the same way (for example, to strangers, parents, caregivers, grandparents, siblings).
19. My child gets fussy when exposed to bright lights.
20. My child avoids eye contact with me.
21. My child startles at own reflection in the mirror.
22. My child avoids looking at toys.
D. Tactile Processing
23. My child seems unaware of wet or dirty diapers.
24. My child resists being held.
25. My child becomes agitated when having hair washed.
26. My child avoids getting face/nose wiped.
27. My child is distressed when having nails trimmed.
28. My child resists being cuddled.
E. Vestibular Processing
29. My child requires more support for sitting than other children the same age (for example, infant seat, pillows, towel roll).
30. My child enjoys physical activity (for example, bouncing, being held up high in the air).
31. My child doesn't seem to notice position changes and can be moved about with ease.
32. My child enjoys rhythmical activities (for example, swinging, rocking, car rides).
33. My child becomes upset when placed on back to change diapers.
34. Riding in the car upsets my child.
35. My child resists having head tipped back during bathing.
36. My child cries or fusses whenever I try to move him/her.
