| A. Sensory Processing | ||
| 1 | Auditory Processing | Responses to things heard (e.g., “is distracted or has trouble functioning if there is a lot of noise around”) |
| 2 | Visual Processing | Responses to things seen (e.g., “is bothered by bright lights after others have adapted to the light”) |
| 3 | Vestibular Processing | Responses to movement (e.g., “becomes anxious or distressed when feet leave the ground”) |
| 4 | Touch Processing | Responses to stimuli that touch the skin (e.g., “becomes irritated by shoes or socks”) |
| 5 | Multisensory Processing | Responses to activities that contain a combined sensory experience (e.g., “seems oblivious within an active environment”) |
| 6 | Oral Sensory Processing | Responses to touch and taste stimuli to the mouth (e.g., “limits self to particular food textures/temperatures”) |
| B. Modulation | ||
| 7 | Sensory Processing Related to Endurance/Tone | Ability to sustain performance |
| 8 | Modulation Related to Body Position and Movement | Ability to move effectively |
| 9 | Modulation of Movement Affecting Activity Level | Demonstration of activeness |
| 10 | Modulation of Sensory Input Affecting Emotional Responses | Ability to use body senses to generate emotional responses |
| 11 | Modulation of Visual Input Affecting Emotional Responses and Activity | Ability to use visual cues to establish contact with others |
| C. Behavioural and Emotional Responses | ||
| 12 | Emotional/Social Responses | Psychosocial coping strategies |
| 13 | Behavioural Outcomes of Sensory Processing | Ability to meet performance demands |
| 14 | Items Indicating Thresholds for Response | Level of modulation |
| Factor Scores | ||
| 1 | Sensation Seeking | Interest in and pleasure with sensory experiences in everyday life |
| 2 | Emotionally Reactive | Affective responses to sensory experiences in everyday life |
| 3 | Low Endurance/Tone | Ability to use muscle tone to support self while engaging in activity |
| 4 | Oral Sensory Sensitivity | Responses to textures, tastes and smells, particularly related to foods |
| 5 | Inattention/Distractibility | Tendency to be pulled away from activities due to external stimuli, particularly sounds |
| 6 | Poor Registration | Tendency to miss cues from sensory experiences in everyday life |
| 7 | Sensory Sensitivity | Level of detection of movement stimuli during everyday life experiences |
| 8 | Sedentary | Tendency to be passive during everyday life |
| 9 | Fine Motor/Perceptual | Ability to use hands |