Sensory Profile
Winnie Dunn. PhD., OTR, FAOTA
Caregiver Questionnaire
A. General Processing
1. My child's behavior deteriorates when the schedule changes.
2. My child avoids playing with others.
3. My child withdraws from situations.
B. Auditory Processing
4. I have to speak loudly to get my child's attention.
5. I have to touch my child to gain attention.
6. My child enjoys making sounds with his/her mouth.
7. My child takes a long time to respond, even to familiar voices.
8. My child startles easily at sound, compared to other children the same age.
9. My child is distracted and/or has difficulty eating in noisy environments.
10. My child ignores me when I am talking.
11. My child tries to escape from noisy environments.
12. My child finds ways to make noise with toys.
13. It takes a long time for my child to respond to his/her name when it is called.
C. Visual Processing
14. My child enjoys looking at moving or spinning objects (for example, ceiling fans, toys with wheels, floor fans).
15. My child enjoys looking at shiny objects.
16. My child avoids eye contact with me.
17. My child refuses to look at books with me.
18. My child does not recognize self in the mirror.
19. My child enjoys looking at own reflection in the mirror.
20. My child prefers fast-paced, brightly colored TV shows.
D. Tactile Processing
21. My child resists being held.
22. My child becomes agitated when having hair washed.
23. My child avoids getting face/nose wiped.
24. My child is distressed when having nails trimmed.
25. My child resists being cuddled.
26. My child is upset by changes in the bath water temperature, from one bath to the next.
27. My child avoids contact with rough or cold surfaces (for example, squirms, arches, cries).
28. My child becomes very upset if own clothing, hands, and/or face are messy.
29. My child gets upset with extreme differences in room temperature (for example, hotter, colder).
30. My child becomes anxious when walking or crawling on certain surfaces (for example, grass, sand, carpet, tile).
31. My child enjoys playing with food.
32. My child seeks opportunities to feel vibrations (for example, stereo speakers, washer, dryer).
33. My child bumps into things, seeming to not notice objects in the way.
34. My child enjoys splashing during bath time.
35. My child uses hands to explore food and other textures.
E. Vestibular Processing
36. My child requires more support for sitting than other children the same age (for example, infant seat, pillows, towel roll).
37. My child enjoys physical activity (for example, bouncing, being held up high in the air).
38. My child enjoys rhythmical activities (for example, swinging, rocking, car rides).
39. My child becomes upset when placed on back to change diapers.
40. My child resists having head tipped back during bathing.
41. My child cries or fusses whenever I try to move him/her.
E. Vestibular Processing
42. My child licks/chews on nonfood objects.
43. My child mouths objects.
44. My child is unaware of food or liquid lefts on lips.
45. My child refuses all but a few food choices.
46. My child resists having teeth brushed.
47. My child refuses to drink from a cup.
48. My child refuses to try new foods.
