This document contains a profile assessing a child's comfort zones across several domains: 1) Sensory - What sensory stimuli the child avoids, seeks out, finds alerting or overwhelming. Accommodations like sensory diets are noted. 2) Cognitive - How the child processes information in terms of topics that are easy/hard and preferred presentation methods. Accommodations for learning are included. 3) Social - Preferred interaction styles and people as well as skills like sharing and following directions. Situations to avoid are listed. 4) Emotional - Expression of emotions, ability to regulate them, and situations that may overwhelm. Supports to promote feeling safe are described.

1. Comfort Zones Profile<br />Name: Age: Date: <br />Reporter: <br />Sensory Profile:<br />Sensory stimulation my child avoids, is defensive to:<br />Sensory stimulation my child is attracted to; seeks out:<br />Sensory stimulation that alerts my child:<br />Known sensory situations that overwhelms my child:<br />Sensory stimulation that calms my child:<br />Sensory accommodations, or sensory diet, currently used to support my child:<br />Favorite sensory activities for engaging the child in interaction:<br />Other:<br />Cognitive (information) Profile:<br />Information processing problems my child experiences:<br /> ___ delayed processing ___ processing multiple information simultaneously <br /> ___ processing auditory information ___ processing visual information <br /> <br /> Explain: <br />Best way to present information to my child:<br /> Type: (visual, pictures, written, verbal, etc.)<br /> How much? (Short phrases, broken down into small portions at one time, etc.)<br /> How fast? (Needs 15-30 seconds to process, etc.)<br />Information (topics) that tend to be easy for my child? Difficult?<br />My child tends to have problems:<br /> ___ concentrating ___ organizing materials ___ initiating a task ___ staying on task <br /> ___ finishing task ___ turning in completed work<br /> Explain:<br />Accommodations/supports that have worked well in helping my child learn:<br />Other:<br />Social Profile:<br />What type of interaction style works best to:<br /> Engage my child (animated, calm, nondemanding, slow paced, physical contact, etc.):<br /> Sooth my child: <br />Types of interaction to avoid with my child:<br />Types of interaction that overwhelms my child:<br />How my child handles interacting with:<br /> Familiar adults:<br /> Unfamiliar adults:<br /> Other children:<br /> Group activities:<br />My child’s interaction skills:<br /> Sharing:<br /> Taking turns:<br /> Following directions:<br /> Referencing others to stay coordinated in action with them:<br /> Sharing enjoyment with others:<br />Social situations to avoid for my child:<br />Accommodations and supports that help my child feel safe and accepted with others:<br />Other:<br />Emotional Profile:<br />My child’s general level of emotional stability (fairly calm, emotionally over-reactive, etc.) is:<br />How my child expresses:<br /> Excitement/Pleasure:<br /> Frustration:<br /> <br /> Unhappy:<br /> Sad: <br /> Afraid/Fear:<br />My child’s abilities to:<br /> Identify and label his emotions:<br /> <br /> Control and regulate his emotions:<br /> Calm after getting upset:<br /> Situations that my child becomes overwhelmed by, or over-reacts to:<br />Supports/accommodations that can be used to keep my child from becoming emotionally overwhelmed: <br />Best ways to calm my child when upset; overwhelmed:<br />Things to avoid when my child is emotionally overwhelmed; upset:<br />Other strategies that help my child feel “safe” in general, and in times in stress:<br />Other Comfort Zones (medical, dietary, physical activity, etc.) important to my child feeling safe:<br />Given the above information my child functions the best under the following conditions:<br />My child struggles the most under the following conditions:<br />