Amy Speech & Language Therapy, Inc.
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Sensorimotor Questionnaire


Picture

QUESTIONS  

1.  Is your child particularly sensitive to touch? 

2.  Does your child particularly enjoy fast –moving or spinning activities at the playground or at home, perhaps with little or no dizziness?

3.  Does your child show particular caution in approaching activities involving fast movement or movement of the body?

4.     Does your child have unusual sensitivities to smell?

5.  Is your child particularly sensitive to noise, e.g. putting hands over ears when others are not bothered by sounds?

6.  Have you ever had concerns about your child’s hearing either in general or in conjunction with ear infections?

7.  Have you ever had concerns about your child’s vision?

8.  Do you think your child has a more “loose” or “floppy” body build than others?

9.  Does your child have difficulty orientating her body effectively for dressing activities, such as putting arms in sleeves, putting fingers in mittens, or putting toes in socks?

Questions 10.  Do you feel that your child has not yet established a definite hand preference when using a spoon, crayon, marker, pencil, etc.?

11.  Does your child avoid active physical games involving running, jumping, and use of large play equipment?

12.  Does your child avoid manipulation of small objects?

13.  Does your child avoid activities involving the use of “tools” such as crayons, pencils, markers, and scissors?

14.   Do you feel that your child has a short attention span, even for things that she enjoys?

15.  Do you feel that your child tends to be restless or “fidgety” during times when quiet concentration is required?

YES   

NO


Amy Speech & Language Therapy, Inc.
amyreinsteinslp@gmail.com
​
ph: 561-739-2024



Copyright © 2020 Amy Speech Language Therapy. All Rights Reserved.
  • Home
  • Speech Therapy Materials Store
    • Free SLP Downloads
  • Dysphagia
    • The Normal Swallowing Process
    • Brain & Cranial Nerves
    • Guidelines for Safe Swallowing
    • Imaging Examinations
    • Dysphagia Diagnosis
    • Hydration
    • Dysphagia Diets
    • Oral Care/Oral Hygiene
    • Predictors of Aspiration Pneumonia (AP)
    • Dysphagia Treatment Strategies >
      • Tube Feeding
  • Language
    • Developmental Milestones
    • Early Language Learning
    • Enhance Your Child's Communication
  • Aphasia
    • Symptoms of a Stroke
    • Language After Stroke
    • Aphasia Treatment
  • AAC
  • Autism
    • Therapy
    • Sensorimotor
    • Stimulation
  • Feeding
    • Oral Motor
    • GI Disorders in Pediatric Feeding
    • Drooling
  • Articulation vs Phonological
    • Speech Sound Development
    • Articulation Therapy Materials
  • Literacy
    • Reading
    • Processing Disorders
    • Literacy Treatment
    • Phonemic Awareness Treatment
  • Voice
    • Voice Tips
    • Voice Therapy
    • Voice Modifications
  • Motor Speech Disorders/Dysarthrias
    • Classifications of the Dysarthrias
  • Stuttering
    • Normal Fluency Development
    • Enhance Fluency at Home
    • Deal with Stuttering Effectively
  • Speech & Language Therapy Treatment Materials
    • Speech Therapy Material Links >
      • AAC
      • Speech Therapy APPS
  • Resources
  • Blog/News
  • Patient Advance Directives
  • The Speech & Swallow Clinic of South Florida
    • Speech and Language Services & Payment Options
    • Client History Forms
    • About Us >
      • Contact Us
      • Sponsorship & Collaboration
  • Contact Us
  • Speech Store