Sensory Modulation Self-Assessment
Assessment 1 of 3

Overview:
This self-assessment is a screening form designed to help you identify your sensory modulation patterns. Sensory modulation refers to the speed, intensity, and duration of your response to sensations. It is a sub-category of sensory processing and integration.

This self-assessment is not a diagnostic tool. It does not include all possible sensory modulation differences. If you feel your sensory modulation patterns are causing you problems, please discuss your concerns with your doctor or therapist. For further assessment, see an occupational therapist specializing in sensory integration therapy.

Instructions:
For each item that is true at least half of the time, select "Yes." For each item that is NOT true at least half of the time, select "No."
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