Sense and Self-Regulation Checklist (SSC)


Author of Tool: 

Silva, L. M. T., & Schalock, M.

Key references: 

Silva, L. M. T., & Schalock, M. (2012). Sense and self-regulation checklist, a measure of comorbid autism symptoms: Initial psychometric evidence. The American Journal of Occupational Therapy, 66, 177-186.

Primary use / Purpose: 

This instrument was designed as a parent/caregiver measure of comorbid symptoms in autism.


Comorbid symptoms are common in autism spectrum disorder are associated with increased autism severity. Comorbid symptoms include abnormal sensory responses, sleep disruption, gastrointestinal problems, self-injurious behaviours, aggression, and irritability. It is recommended that comorbid symptoms are identified and treated from the time of autism diagnosis.

The SSC was developed following extensive interviews of parents of children with autism about their child’s sensory and self-regulatory responses to ordinary, daily-life situations. It contains six sensory subdomains (touch-pain, auditory, visual, taste-smell, hyperreactive to noninjurious stimuli, and hyporeactive to injurious stimuli). Items are rated never (0), rarely (1), sometimes (2), or often (3). Domain scores are obtained by summing the individual items.

The SSC has been shown to be a valid measure of sensory and self-regulatory difficulties for children under 6 years of age. It can be used as a treatment outcome measure for children with autism. It can also be used to identify patterns of sensory and self-regulatory of sensory and self-regulatory difficulties in young children with other disabilities. The SSC caregiver report is suitable for use by caregivers who have an elementary school education and is available in English, Spanish, and Chinese.


Acceptable internal consistency and test-retest reliability has been demonstrated (Silva & Schalock, 2012).



PDF iconsense_and_self-regulation_checklist_with_instructions_-_11-28-11.pdf

Digital Object Identifier (DOI):


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