1- My child connects easily with strangers (children or adults): true false
2- During birthday parties, or other gatherings my child is at his/her best and happiest. true
My child often attracts strangers of all ages
My child is fairly sociable but doesn't always show interest in strangers
My child is approachable, but his/her encounters with other children often come to a dead-end
My child rarely attracts the attention of strangers
My child hates being among other kids or adults. He/she cries constantly at parties an holds on
to me as tight as possible
4- No matter what my child’s troubles are a brief outing or any change of scenery over a few
hours and she/he is ready to take on the world again. true false sometimes but not typically
5- My child frequently needs time alone.
practically none few hours a months few hours a week few hours a day several days a week
My child is mostly house-bound and don't typically enjoy company of others
6- My child prefers activities involving substantial interaction with other kids. true false
7- My child gets along well with other kids. He/she can form alliances with minimal emotional
involvement. true false
8- In regards to self-confidence I'd say:
There is nothing my child can't do if she applied herself properly
My child has confidence in his/her abilities in certain areas but is aware of limitations in other
Criticism often makes my child feel inadequate
My child is largely lacking in self-confidence. My child is too sensitive to criticism and hopes
others don't notice his/her many shortcomings.
9- In regards to sensory stimulation:
My child can easily tune out background noise when he/she is focused on something else
My child can sometimes tune out background noise but not always
Background noise irritates my child but he/she can keep it under wraps
The least amount of background noise or repetitive sounds paralyses my child and renders
him/her ineffective at any task that requires use of his/her mind
10- in regards to mood;
My child is rarely in a high mood (frantic).
My child is frequently in a negative mood.
My child is frequently in a low & negative mood
My child is frequently in a high but irritable mood