SPD Checklist-Adam
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SPD check-list test - meScore 0 - 4Highest Possible Score
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http://musingsofanaspie.com/2014/04/22/taking-the-spd-checklist/
(Add scores in below)
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http://spdlife.org/symptoms/general.html
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0 – Never (not at all)
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1 – Rarely (a little)
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2 – Sometimes (moderately)
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3 – Often (quite a lot)
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4 – Always (severe)
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Sensory Modulation
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General Modulation
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have unusual eating habits (strong preferances, eat at odd times, etc.)34
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have unusual sleeping habits or sleep schedule44
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have great difficulty with transitions, be they major life changes or small everyday stuff (one activity to another, going from inside to outdoors, etc.)34
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become engrossed in one single activity for a long time and seem to tune out everything else34
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spend hours at a time on fantasy or video games and activities34
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very high or very low energy level34
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are resistent to change in your daily life and environment34
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may have turned to forms of substance abuse04
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drink excessive amounts of coffee or caffeinated beverages04
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General Modulation total22360.611111111161%61
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Over-Responsiveness
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bothered by clothes; certain materials, tags, seams, pantyhose, ties, belts, turtlenecks. May have to wear shorts, skirts, or pants exclusively, etc.24
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bothered by "light touch"; someone lightly touching/rubbing your hand, face, leg or back34
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excessively ticklish34
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distressed by others touching you; would rather be the "toucher" than the "touchee". May lead to difficulty "snuggling" with your partner04
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very sensitive to pain, especially as compared to others24
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dislike the feeling of showers or getting splashed04
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difficulty going to the beach; the sand blowing on your skin or getting on your body14
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avoid touching anything "messy"; if you do, you have to go wash your hands right away and/or only touch it with your fingertips34
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can not wear new or "stiff" clothes that have not been washed or soaked in fabric softener04
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hate to be barefoot or hate to wear shoes and/or socks24
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frequently get car sick, air sick, motion sick04
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difficulty riding on elevators, escalators, or moving sidewalks04
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avoid amusement park rides that drop, climb, spin, or go upside down24
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difficulty eating foods with mixed textures, or one particular texture04
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prefer very bland foods, dislike anything spicy04
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become nauseated or gag from certain cooking, cleaning, perfume, public restroom, or bodily odors04
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become overstimulated or overaroused when people come to the house or when in crowded places24
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overly exited/aroused in group settings44
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avoid crowds and hide or disappear when guests come over24
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sensitive to noises that other people do not seem bothered by (clocks, refrigerators, fans, people talking, blenders, vaccuum cleaners, animals, outdoor construction, etc.)
34
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easily distracted by auditory or visual stimuli34
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can not attend certain public events or places due to excessive noise14
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over react to loud noises, like sirens14
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can't sleep if room isn't completely dark04
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fearful of heights04
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bothered by hands or face being dirty44
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Overresponsive total381040.365384615437%61
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Under-Responsiveness
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may fail to recognize stimuli that most would find alerting or strong04
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unable to identify foods that have gone bad by smell04
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difficulty being able to smell dangerous smells, i.e., smoke, noxious/hazardous solvents, or if something is burning in the stove or oven04
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don't seem to notice pain; get shots/cuts/bruises and hardly feel a thing04
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lethargic, hard to get going, appear "lazy" and unmotivated34
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don't seem to notice if your hands or face are dirty04
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don't seem to get dizzy24
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have a hard time feeling parts of your body, as though they aren't there04
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difficulty waking up in the morning (may not even notice alarm clock)44
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Underresponsiveness total9360.2525%36
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Sensory Seeking
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have to fidget and "fiddle" with things all the time; change in your pocket, your keys, a pen/pencil, paper clip, rubber band, anythingwithin reach44
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often touching and twisting your own hair24
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are a thrill seeker; love fast and/or dangerous rides, leisure activities, and sports24
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seek out fast, spinning, and/or upside down carnival rides24
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will often rock or sway body back and forth while seated or standing still34
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frequently tip chair on back two legs44
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restless when sitting through a lecture, presentation, or movie44
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constantly chew on pens and pencils, chew gum, or smoke cigarettes44
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prefer foods with very strong tastes and flavors44
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constantly bite nails or fingers44
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bite lips or inside of cheeks24
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frequently shake your leg while sitting or falling asleep44
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love to sleep with multiple or heavy blankets on top of you34
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seek out crashing and "squishing" activities04
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crack knuckles often44
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love crunchy foods (popcorn, carrots, chips, nuts, pretzels, etc.)44
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have an "endless" supply of air fresheners, scented candles, odor masking sprays, etc.04
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identify objects by smell, have to smell everything, judge whether you like something or someone by smell14
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great difficulty settling body down for sleep44
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love to touch and be touched, have to touch everything4
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Sensory seeking total59760.776315789578%61
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Sensory Discrimination
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can't identify objects by feel if your eyes are closed04
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difficulty finding things in your purse or pocket without looking04
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difficulty heating food to the correct temperature, feeling if it is too hot or too cold04
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difficulty locating items in a cupboard, drawer, in your closet, or on a grocery shelf04
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difficulty with recognizing/interpreting/following traffic signs24
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difficulty judging distances about where your car is in relation to other cars, in parking spaces, or near a curb (fail miserably at parallel parking!!)04
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difficulty merging into oncoming traffic on road, rotary, or highway04
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get disoriented and/or lost easily in stores, buildings, hiking, etc.04
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difficulty concentrating on or watching a movie/tv show when there is background noise or distractions44
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difficulty remembering or understanding what people are telling you24
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difficulty following directions if given two or three at one time44
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can not complete concentrated tasks if noises present34
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talks too loud or too soft24
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