FILL IN WHAT SENSORY EXPERIENCES ORGANIZE OR DISORGANIZE YOU

SENSES

Touch

Organizing: _____________________________________________

Disorganizing: __________________________________________

Temperature

Organizing: ______________________________________________

Disorganizing: ____________________________________________

Movement

Organizing: _______________________________________________

Disorganizing: _____________________________________________

My favorite activities are: _______________________________________

__________________________________________________________

Sounds:

Organizing ________________________________________________

Disorganizing: _____________________________________________

My favorite music is: _________________________________________

_________________________________________________________

Lighting:

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

Colors:

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

My favorite colors are: _________________________________________

____________________________________________________________

Smells

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

My favorite scents are: ________________________________________

____________________________________________________________

ENVIRONMENT

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

Environment needed to wake up (alarm, soft music, chit chat, sunlight, dark):

____________________________________________________________

____________________________________________________________

Environment needed to fall asleep ((dark, quiet, soft music, or low steady hum)

____________________________________________________________

____________________________________________________________

PEOPLE

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

FOOD

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

My favorite foods are: __________________________________________

_____________________________________________________________

I prefer foods that are,

Crunchy__

Chewy__

Cold__

Hot__

Mushy__

Spicy__

Bland__

DAILY ROUTINE

Morning Activities

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

Afternoon Activities

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

Evening Activities

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

Sleep Activities

Organizing___________________________________________________

____________________________________________________________

Disorganizing: _______________________________________________

____________________________________________________________

Part of day you feel most

Organized:___________________________________________________

____________________________________________________________

Disorganized: _______________________________________________

____________________________________________________________

I tend to be:

An owl and gain alertness as the day goes on ______

A lark and feel most alert in the morning _________