Sensory Profile 2 - Caregiver Questionnaire

Dear Parent/Caregiver,

The questions that follow contain statements that describe how children may act.

Please read each phrase and select the option that best describes how often your child shows these behaviors.

Please mark one option for every statement.

Use these guidelines to mark your responses:

When presented with the opportunity, my child:


Almost Always: responds in this manner Almost Always (90% or more of the time).

Frequently: responds in this manner Frequently (75% ot the time).

Half the Time: responds in this manner Half the Time (50% of the time).

Occasionally: responds in this manner Occasionally (25% of the time).

Almost Never: responds in this manner Almost Never (10% or less of the time).

Does Not Apply: if you are unable to answer because you have not observed the behavior or believe that it does not apply to your child, please check Does Not Apply.


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Email *
Your Name: *
Your Phone Number: *
Your Relationship to child: *
Child's name: *
Gender: *
Date of Birth: *
Please use the name of the month instead of its number for less confusion.
e.g.: March 2nd 2019, or 2 March 2019

In what order is your child born in relation to siblings (for example, 1st child, 3rd child, etc.)?

 *

Have there been more than three children between the ages of birth through 18 years living in your household during the past 12 months:

 *
AUDITORY Processing

1- My child reacts strongly to unexpected or loud noises (for example, sirens, dog barking, hair dryer).

 *

2- My child holds hands over ears to protect them from sound.

 *

3- My child struggles to complete tasks when music or TV is on.

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4- My child is distracted when there is a lot of noise around.

 *

5- My child becomes unproductive with background noise (for example, fan, refrigerator).

 *

6- My child tunes me out or seems to ignore me.

 *

7- My child seems not to hear when I call his or her name (even though hearing is OK).

 *
VISUAL Processing

9- My child prefers to play or work in low lighting.

 *

10- My child prefers bright colors or patterns for clothing.

 *

11- My child enjoys looking at visual details in objects.

 *

12- My child needs help to find objects that are obvious to others.

 *

13- My child is more bothered by bright lights than other same-aged children.

 *

14- My child watches people as they move around the room.

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15- My child is bothered by bright lights (for example, hides from sunlight through car window).

 *
TOUCH Processing

16- My child shows distress during grooming (for example, fights or cries during haircutting, face washing, fingernail cutting).

 *

17- My child becomes irritated by wearing shoes or socks.

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18- My child shows an emotional or aggressive response to being touched.

 *

19- My child becomes anxious when standing close to others (for example, in a line).

 *

20- My child rubs or scratches a part of the body that has been touched.

 *

21- My child touches people or objects to the point of annoying others.

 *

22- My child displays need to touch toys, surfaces, or textures (for example, wants to get the feeling of everything).

 *

23- My child seems unaware of pain.

 *

24- My child seems unaware of temperature changes.

 *

25- My child touches people and objects more than same-aged children.

 *

26- My child seems oblivious to messy hands or face.

 *
MOVEMENT Processing

27- My child pursues movement to the point it interferes wlth daily routines (for example, can't sit still, fidgets).

 *

28- My child rocks in chair, on floor, or while standing.

 *

29- My child hesitates going up or down curbs or steps (for example, is cautious, stops before moving).

 *

30- My child becomes excited during movement tasks.

 *

31- My child takes movement or climbing risks that are unsafe.

 *

32- My child looks for opportunities to fall with no regard for own safety (for example, falls down on purpose).

 *

33- My child loses balance unexpectedly when walking on an uneven surface.

 *

34- My child bumps into things, failing to notice objects or people in the way.

 *
BODY POSITION Processing

35- My child moves stiffly.

 *

36- My child becomes tired easily, especially when standing or holding the body in one position.

 *

37- My child seems to have weak muscles.

 *

38- My child props to support self (for example, holds head in hands, leans against a wall).

 *

39- My child clings to objects, walls, or banisters more than same-aged children.

 *

40- My child walks loudly as if feet are heavy.

 *

41- My child drapes self over furniture or on other people.

 *

42- My child needs heavy blankets to sleep.

 *
ORAL SENSORY Processing

43- My child gags easily from certain food textures or food utensils in mouth.

 *

44- My child rejects certain tastes or food smells that are typically part of children's diets.

 *

45- My child eats only certain tastes (for example, sweet, salty).

 *

46- My child limits self to certain food textures.

 *

47- My child is a picky eater, especially about food textures.

 *

48- My child smells nonfood objects.

 *

49- My child shows a strong preference for certain tastes.

 *

50- My child craves certain foods, tastes, or smells.

 *

51- My child puts objects in mouth (for example, pencil, hands).

 *

52- My child bites tongue or lips more than same-aged children.

 *

CONDUCT Associated With Sensory Processing

53- My child seems accident prone.

 *

54- My child rushes through coloring, writing, or drawing.

 *

55- My child takes excessive risks (for example, climbs high into a tree, jumps off tall furniture) that compromise own safety.

 *

56- My child seems more active than same-aged children.

 *

57- My child does things in a harder way than is needed (for example, wastes time, moves slowly).

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58- My child can be stubborn and uncooperative.

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59- My child has temper tantrums.

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60- My child appears to enjoy falling.

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61- My child resists eye contact from me or others.

 *
SOCIAL EMOTIONAL Responses Associated With Sensory Processing

62- My child seems to have low self-esteem (for example, difficulty liking self).

 *

63- My child needs positive support to return to challenging situations.

 *

64- My child is sensitive to criticisms.

 *

65- My child has definite, predictable fears.

 *

66- My child expresses feeling like a failure.

 *

67- My child is too serious.

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68- My child has strong emotional outbursts when unable to complete a task.

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69- My child struggles to interpret body language or facial expression.

 *

70- My child gets frustrated easily.

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71- My child has fears that interfere with daily routines.

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72- My child is distressed by changes in plans, routines, or expectations

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72- My child is distressed by changes in plans, routines, or expectations

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73- My child needs more protection from life than same-aged children (for example, defenseless physically or emotionally).

 *

74- My child interacts or participates in groups less than same-aged children.

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75- My child has difficulty with friendships (for example, making or keeping friends).

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ATTENTIONAL Responses Associated With Sensory Processing

76- My child misses eye contact with me during everyday interactions.

 *

77- My child struggles to pay attention.

 *

78- My child looks away from tasks to notice all actions in the room.

 *

79- My child seems oblivious within an active environment (for example, unaware of activity).

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80- My child stares intensively at objects.

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81- My child stares intensively at people.

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82- My child watches everyone when they move around the room.

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83- My child jumps from one thing to another so that it interferes with activities.

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84- My child gets lost easily.

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85- My child has a hard time finding objects in competing backgrounds (for example, shoes in a messy room, pencil in "junk drawer").

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86- My child seems unaware when people come into the room.

 *
A copy of your responses will be emailed to the address you provided.
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