Sensory Discrimination Disorder Checklist

Tactile Discrimination Disorder

_______ Difficulty knowing where you are being touched

_______ Difficulty knowing what you are holding without looking

_______ Will need to use your eyes when searching through a bag, desk, purse, or packpack

_______ Difficulty with describing the physical characteristics or texture of an object by touch alone

Gustatory/Oral Discrimination Disorder

_______ Not able to tell the difference between textures or tastes while eating

_______ Unable to tell what you are eating or drinking by taste and texture alone

_______ Difficulty in knowing when something is too hot or too cold for consumption

_______ Difficulty distinguishing between flavors

Olfactory Discrimination Disorder

_______ Unable to identify the source or cause of odors

_______ May not be able to distinguish important smells, like something burning

_______ Difficulty in telling the differences between two smells

Auditory Discrimination Disorder

_______ Difficulty determining the source of a noise or who is speaking to them

_______ Have a hard time determining which sound to pay attention to, or whos voice to listen to

_______ Frequently mistake sounds in language, especially with similar sounding words, like 'chip' and 'tip' or 'cars' and 'cards'

_______ Difficulty fallowing multi-step instructions

Visual Discrimination Disorder

_______ Difficulty in distinguishing between colors or shapes of objects

_______ Failure to see the 'big picture', focusing on only a small piece of what is seen

_______ Difficulty identifying objects that are partially covered

_______ Difficulty fallowing a map or identifying landmarks

_______ Difficulty with driving, especially while merging or parking

_______ Poor depth perception

_______ Unable to determine which visible object to attend to in your environment

_______ May confuse left and right

_______ Difficulty determining between similar letters by sight, such as 'q, p, d, b, and g'

_______ May have poor or sloppy handwriting, otherwise known as Dysgraphia

_______ May write at a slant, up or down

Vestibular Discrimination Disorder

_______ Difficulty determining head or body position

_______ Poor perception of elevation

_______ Difficulty in determining your own posture without looking

_______ Unaware of whether you are upside down, sitting, or standing without looking

_______ Frequently fall out of chairs

Proprioceptive Discrimination Disorder

_______ Difficulty knowing how much pressure to use to pick up or hold an object

_______ Frequently use too much or too little pressure in physical activities

_______ May constantly slam doors and windows or not shut them well enough

_______ May often break pencils and other utensils while using them

Interoceptive Discrimination Disorder

_______ Difficulty determining the difference between hungry and full, thirsty and not thirsty

_______ Not able to know whether or not you need to use the restroom

_______ Cannot tell whether your heart is pounding or how fast you are breathing