1. Was unusually fussy, difficult to console, or easily startled as an infant?
(1.0) (0.0)
2. Has difficulty regulating sleep/wake cycles --settling for sleep, staying asleep, and waking without irritability
(1.0) (0.0)
3. Is over-sensitive to stimulation--over-reacts to touch, taste, sounds, or odors
(1.0) (0.0)
4. Strongly dislikes baths, haircuts, or nail cutting (i.e. touch sensitivity)
(1.0) (0.0)
5. Uses an inappropriate amount of force when handling objects, coloring, writing, or interacting with siblings or pets (i.e. poor registration)
(1.0) (0.0)
6. Has poor muscle tone, fatigues easily, leans on people, or slumps in a chair
(1.0) (0.0)
7. Was slow to roll over, creep, sit, stand, or walk, or to achieve other motor milestones
(1.0) (0.0)
8. Is clumsy, falls frequently, bumps into furniture or people, and has trouble judging position of body in relation to surrounding space
(1.0) (0.0)
9. Has difficulty learning new motor tasks; experiences frustration when attempting to follow instructions or sequence steps for an activity
(1.0) (0.0)
10. Avoids playground activities, physical education class, and/or sports
(1.0) (0.0)
11. Does not enjoy age-appropriate motor activities such as jumping, swinging, climbing, drawing, cutting, assembling puzzles, or writing
(1.0) (0.0)
12. Finds it difficult to make friends with peers; prefers to play with adults or younger children
(1.0) (0.0)