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Sensory Quiz
Score 1-4 points, possibly sensory challenged; Score 5-7 probably; Score 8-12 likely; Score 12-20 very likely. For more information visit www.movingpartstherapy.com or call 920-221-3098
Email address *
1. Did you or your child have complications related to the birth process?
3 points
2. Did your child have difficulty nursing?
3 points
3. Does/did your child see a speech therapist?
3 points
4. Did your child spend an unusually short period of time crawling before walking (less than 4 weeks)?
2 points
5. Is your child a picky eater with a very limited variety of foods she/he will eat?
1 point
6. Does your child cry or run from flushing toilets, hair dryers, etc. Does your child not seem not to hear when you call him?
1 point
7. Does your child ask for sunglasses, wear a baseball hat, or hide from sunlight more often than expected?
1 point
8. Does your child cry or fight during hair cuts, face/hair washing, or fingernail cutting?
1 point
9. Does your child seem accident prone? Do they lose their balance unexpectedly or bump into things more than other kids their age?
2 points
10. Does your child avoid swings, tricycles, suspended play bridges, or rolling activities?
3 points
A copy of your responses will be emailed to the address you provided.
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