SP3D Demographic Survey
This survey gathers basic information about you &/or your child to compare you with similar and dissimilar people during analytics for standardization of the Sensory Processing Three Dimensions Scale (SP3D). This information is confidential and will never be used to identify you except for during the actual testing process. Please answer each question to the best of your ability.
Email *
Phone number *
Participant's Name *
Parent's Name (if under age 18 or guardian of adult child)
Participant's Date of Birth *
MM
/
DD
/
YYYY
City & State of Participant's Primary Residence *
Zip Code *
Participant's Gender *
Participant's current grade enrollment *
Is the participant of Hispanic, Latino, or Spanish origin? *
Participant's Race/Ethnicity *
Language primarily spoken at home: *
Head of household's highest education level: *
Has the participant been identified by a professional as having any of the following sensory processing disorder(s)? Check all that apply. *
Required
Has the participant been identified by a professional as having physical, mental, emotional, or behavioral diagnosis(es)? Check all that apply. *
Required
Does the participant receive treatment for sensory processing disorder or any of the diagnoses listed above? *
Does the participant receive special education services? *
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