Sensory Processing Measure Preschool

School Form
3 5 aos
Nombre: ________________________________________________________ Edad: _____________ Curso: ____________ Sexo: M F

Fecha de evaluacin: __________________________ Motivo de consulta:_________________________________________________________

%ile T SOC VIS HEA TOU BOD BAL PLA TOT T %ile
80 38-40 30-40 39-40 27-40 32-40 20-40 32-40 155-220 80
79 29 36-38 26 31 31 146-154 79
78 27-28 33-35 30 141-145 78
77 37 26 28-32 25 29 19 28-30 136-140 77
76 35-36 25 24-27 26-27 129-135 76
75 33-34 24 23 24 28 25 124-128 75
>99 74 32 23 22 23 26-27 120-123 74 >99
99 73 22 21 22 24-25 18 24 114-119 73 99
72 31 21 20 21 22-23 110-113 72
98 71 30 20 21 17 23 109 71 98
70 29 20 19 22 100-108 70
97 69 28 18 19 20 16 99 69 97
96 68 27 19 18 21 96-98 68 96
67 17 19 15 91-95 67
95 66 25-26 18 17 18 20 89-90 66 95
93 65 16 16 17 87-88 65 93
92 64 24 17 14 19 85-86 64 92
90 63 15 16 18 84 63 90
88 62 23 16 15 17 81-83 62 88
86 61 14 15 13 79-80 61 86
84 60 22 15 14 16 77-78 60 84
82 59 14 76 59 82
79 58 21 14 13 15 73-75 58 79
76 57 13 13 12 72 57 76
73 56 20 14 70-71 56 73
69 55 13 12 12 69 55 69
66 54 19 13 68 54 66
62 53 18 12 11 66-67 53 62
58 52 17 11 65 52 58
54 51 12 11 12 64 51 54
50 50 16 63 50 50
46 49 11 17 62 49 46
42 48 15 11 61 48 42
38 47 14 60 47 38
34 46 11 46 34
31 45 13 45 31
27 44 12 10 59 44 27
24 43 10 58 43 24
21 42 10 42 21
18 41 11 10 57 41 18
16 40 10 10 10 55-56 40 16
%ile T SOC VIS HEA TOU BOD BAL PLA TOT T %ile

Raw Score ____ ____ ____ ____ ____ ____ ____ ____ Raw Score
T Score ____ ____ ____ ____ ____ ____ ____ ____ T - Score
Interpretative Range
Typical
(40T 59T)
Some Problems
(60T 69T)
Definitive Dysfunction
(70T 80T)