Supported by:
national autism standardsards
Sensory assessment checklist
(based on the sensory profile checklist from Bogdashina, 2003 and included in the IDP autism
spectrum)
Tick which apply and then consider which teaching staff need to know this information.
Where possible, complete this in discussion with the parents or carers and the pupil.
No.
Item
Yes
No
Resists changes to familiar routines
Does not recognise familiar people in unfamiliar
clothes
No reconoce a personas conocidas con ropas poco familiares
Dislikes bright lights
Dislikes fluorescent lights
Is frightened by flashes of light
Puts hands over eyes or closes eyes in bright light
Dont
know
Action
required
Resistente a los cambios en las rutinas familiares
le disgustan las luces brillantes
le disgustan las luces florescentes
se asusta con las luces brillantes
se tapa los ojos o los cierra con las luces brillantes
Is attracted to lights
Is fascinated by shiny objects and bright colours
Touches the walls of rooms
10
Enjoys certain patterns (e.g. brickwork, stripes)
11
Gets lost easily
12
Has a fear of heights, lifts, escalators
13
Has difficulty catching balls
14
Is startled when approached by others
15
Smells, licks, taps objects and people
16
Appears not to see certain colours
17
Uses peripheral vision when doing a task
se siente atraido hacia las luces
Se fascina por objetos brillanteso colores fuertes
toca las paredes, la habitacion
Disfruta de ciertos patrones (por ejemplo, ladrillo, rayas)
(se pierde facilmente)
[Link]
Teme a las alturas, escaleras mecanicas, elevadores
tiene dificultades para atrapar la pelota
se asusta cuando se le aproximan otras personas
olfatea, lame, objetos o personas
aparentemente no ve cierto color
usa visin periferica cuando est haciendo alguna tarea
Supported by:
national autism standardsards
No.
Item
Yes
18
Finds it easier to listen when not looking at person
No
Dont
know
Action
required
le resulta mas facil escuchar que mirar a la persona
19
Remembers routes and places extremely well
20
Can memorise large amounts of information on
certain topics Puede memorizar grandes cantidades de informacin sobre ciertos temas
21
Finds crowded areas very difficult
22
Prefers to sit at back of group or front of group
23
Covers ears when hears certain sounds
24
Can hear sounds which others do not hear
25
Is very distressed by certain sounds
26
Bangs objects and doors
27
Is attracted by sounds and noises
28
Does not like shaking hands or being hugged
29
Likes a hug if chosen to do this
30
Only seems to hear the first words of a sentence
31
Repeats exactly what others have said
32
Very good auditory memory for songs and rhymes
33
Dislikes the feel of certain fabrics and substances
Recuerda rutas y lugares muy bien
los lugaresmuy concurridos le resultan dificiles
Prefiere sentarse en la parte trasera del grupo o delante del grupo
se tapa los oidos ante determinados sonidos
puede oir sonidos que otros no escuchan
se angustia por ciertos sonidos
Se siente atrado por los sonidos y los ruidos
No le gusta dar la mano o ser abrazado
le gusta el abrazo si el ha escogido hacerlo
solo parece oir la primera palabra de una oracion
repite exactamente lo que otro dice
buena memoria auditiva para ritmos y canciones
le disgusta sentir ciertas telas o substancias
34
Seems unaware of pain and temperature
35
Dislikes certain foods and drinks
36
Seeks pressure by crawling under heavy objects
parece no percatarse del dolor y la temperatura
le disgustan ciertas comidas y bebidas
busca la presin arrastrandose por debajo de objetos pesados
37
Hugs very tightly
38
Enjoys feeling certain materials
abraza apretado, fuerte
[Link]
disfruta sentir ciertos materiales
Supported by:
national autism standardsards
No.
Item
Yes
No
Dont
know
Action
required
39
Dislikes certain everyday smells
40
Eats materials which are not edible
41
Likes to have food presented in a certain way on the
plate le gusta que la comida le sea presentada de cierta maanera en el plato
42
Dislikes crunchy or chewy food
43
Quite clumsy and bumps into objects and people
44
Finds fine motor movements hard
45
Has difficulty running and climbing
46
Finds it hard to ride a bike
47
Does not seem to know where body is in space
48
Has poor balance
49
Afraid of everyday movement activities such as
le teme a las actividades que impliquen movimientos como columpios, canales, trampolines
swings, slides, trampoline
50
Has extremely good balance
no le gustan algunos olores cotidianos
come materiales no comestibles
le disgusta la comida crujiente o masticable (chicle)
presenta torpeza motora, tropieza con los objetos y personas
[Link]
Se le dificultan los movimientos motores finos
se le dificulta correr y escalar
se le dificulta montar bicicleta
no reconoce donde esta su cuerpo en relacion al espacio
tiene pobre equilibrio
tiene un excelente equilibrio
