Preparation for Initial Interview (Sensory History)

So that we can make the most of your first appointment it would be helpful if you first went through the following questions. We will then use these as a basis for discussion about your child when we meet. I will not want you to ‘hand’ your copy in, but bring it with you to help you focus on your child.

Print out this table for your own use.

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Current medical status Details of any medical diagnosis

Present medical conditions

GP

Paediatrician

Other professionals involved

EARLY DEVELOPMENT – age achieved
  Sitting
  Crawling
  Walking
  Weaning
  Toilet training
  Sleeping
  Playing
PARENTING YOUR CHILD AS A BABY…
no yes  
    Easy
    Difficult
    Different
    Handled by anyone as a baby
    Cried to picked up or put down
    Difficult to pacify
    Excessive wakefulness
    Excessive sleeping
HOW WELL DOES YOUR CHILD CO-OPERATE WITH:

1

2

3

Easy = 1 Awkward =2 Difficult=3
      Face/hair wash
      Nail/hair cutting
      Texture of clothing
      Proximity of others
      Messy play
      Mouthing toys and non-food items
      Eating a variety of foods
      Fiddler with objects/clothing
      Reaction to pain – particularly notices or doesn’t seem to notice
      Notices dirt/small scratches
      Looking after own possessions
      Finding belongings, toys
HOW OFTEN DOES YOUR CHILD BEHAVE LIKE THIS…

1

2

3

never = 1 a little =2 a lot =3
      Crashes and bangs about
      Breaks toys accidentally
      Mis-judges force required for doors, toys, hugs
      Sits in odd positions
      Hangs onto people and furniture
      Posture poor
      Walks up on toes
      Fidgets
      Makes own noises often a hum or whine
      Non-listener but not deaf
      Rocks self, to sleep, in frustration, in comfort, in excitement
      On the move, never still
      Jumps, spins, twirls
      Dislikes movement
      Fearful on moving surfaces, escalators, trains, trams
      Fearless – no sense of danger
      Swings in the garden or park
      Roundabouts in the play-park or fairground
      Rides a bike – stabilisers, and steers, and stops
HOW DOES YOUR CHILD RESPOND TO…
doesn’t notice = 1 notices but doesn’t mind = 2 dislikes or distressed by = 3
      Loud noise
      Bright lights
      Distracted by sound
      Distracted by busy visual patterns
      Darkness
      Tastes/smells
      Movement
      Changes in routine
HOW DOES YOUR CHILD MOVE AND ACT?

1

2

3

With ease=1 with awkwardness=2 with difficulty=3
      Moves with smooth fluid movements?
      Climbing stairs in mature fashion
      Learning new skills, doing something for the first time
      Copies others to learn how to do things
      working out how things work
      doing two things at once
      practice to master new skills
      Judging space
INDEPENDENCE SKILLS

1

2

3

Easy = 1 Awkward =2 Difficult=3
      Sleep pattern
      Alertness pattern am/pm ?
      Attention / concentration
      Dressing /laces/buttons/socks/shoes
      Sequence / Back to front
      Toiletting/washing
      Feeding
      Knife and fork / Cutting food
      Cup/beaker
      Opening crisp packets
      Peeling fruit
      Playing alone
      Games with rules
      Making self understood /clear speech
      Safety

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