The Parent Regulation Questionnaire

Section 1

Movement Seeking

Think about how often movement, impact, resistance, or active play seems connected to your child’s focus and daily rhythm.

1. Does your child seem constantly “on the go”?

Rarely Sometimes Often Very often

2. Does your child crash, climb, jump, push, pull, or seek rough play?

Rarely Sometimes Often Very often

3. Does your child calm down after running, climbing, jumping, or carrying heavy things?

Rarely Sometimes Often Very often

4. Does your child struggle to sit still during meals, homework, or quiet activities?

Rarely Sometimes Often Very often

5. Does your child seem to need movement before they can focus or listen?

Rarely Sometimes Often Very often

Section 2

Sensory Sensitivity

Notice how your child responds to sounds, textures, lights, crowds, clothing, food, and unexpected input.

6. Does your child cover their ears or react strongly to sounds?

Rarely Sometimes Often Very often

7. Does your child avoid certain clothing, textures, tags, socks, or shoes?

Rarely Sometimes Often Very often

8. Does your child become overwhelmed in busy places?

Rarely Sometimes Often Very often

9. Does your child react strongly to lights, smells, food textures, or touch?

Rarely Sometimes Often Very often

10. Does your child seem fine one moment, then suddenly overloaded?

Rarely Sometimes Often Very often

Section 3

Transitions & Routines

Think about leaving the house, changing activities, everyday routines, and the rhythm of the day.

11. Does your child struggle when it is time to leave the house?

Rarely Sometimes Often Very often

12. Does your child melt down when moving from one activity to another?

Rarely Sometimes Often Very often

13. Does your child need repeated reminders for everyday routines?

Rarely Sometimes Often Very often

14. Does your child become upset when plans change?

Rarely Sometimes Often Very often

15. Does your child do better when the day has a predictable rhythm?

Rarely Sometimes Often Very often

Section 4

Emotional Regulation

Notice what helps your child recover after big reactions, rushed moments, fatigue, hunger, or busy environments.

16. Does your child have big reactions that seem larger than the situation?

Rarely Sometimes Often Very often

17. Once upset, does your child have a hard time calming down?

Rarely Sometimes Often Very often

18. Does your child need your presence, voice, or touch to recover?

Rarely Sometimes Often Very often

19. Does your child become dysregulated when tired, hungry, rushed, or overstimulated?

Rarely Sometimes Often Very often

20. Do discipline strategies seem to escalate things instead of helping?

Rarely Sometimes Often Very often

Section 5

Body Awareness

Think about coordination, pressure, force, balance, and how your child moves through space.

21. Does your child bump into things, fall often, or seem unaware of their body in space?

Rarely Sometimes Often Very often

22. Does your child use too much or too little force when playing, writing, hugging, or handling objects?

Rarely Sometimes Often Very often

23. Does your child avoid climbing, balancing, swinging, or playground activities?

Rarely Sometimes Often Very often

24. Does your child seem clumsy, cautious, floppy, tense, or poorly coordinated?

Rarely Sometimes Often Very often

25. Does your child benefit from pushing, pulling, squeezing, carrying, or deep pressure?

Rarely Sometimes Often Very often

Does your child do any of these?

Answer what best matches your recent observations.

Movement Seeking

Sensory Sensitivity

Transitions & Routines

Emotional Regulation

Body Awareness