Name_________________________________________________________________
Ratings of Temperament
Rate the child from 1-6 on the following nine temperament dimensions, using the scale below each dimension and circling the appropriate number. Briefly explain (1-3 sentences) why you rated the child in that way. Include your explanation in your case study.
Example:
1. Activity Level
1 23456
Low activity High Activity
Observations: Hannah did not like to sit still. She was always moving, and she obviously enjoyed running and jumping. Her mother had to remind her to sit still while eating.
1. Activity Level
1 23 456
Very Quiet Very Active
Observations:
2. Rhythmicity
1 2 3456
RegularIrregular
Observations: on a regular eating schedule sleeps at different times
3. Approach/Withdrawal
1 234 56
Quick to approach Slow to Approach
Observations: Doesn’t go up to people rather me to himself.
4. Adaptability
1 234 56
Adapts quickly Adapts slowly
Observations: Likes to be on own vs with other kids.
5. Sensory Threshold
1 23456
Not Sensitive Highly sensitive
Observations:Parent said not sensitive to new items clothes, food,etc
6. Quality of Mood
1 23 456
Positive Negative
Observations:
7. Intensity of reactions
1 23 456
Very mild Very intense
Observations:
8. Distractibility
1 2 3456
NondistractibleVery distractible
Observations: In his own zone while talking to him while his favorite movie Encanto was on, I Tried to hand him a bottle he tuned me out
9. Persistence/Attention Span
1 234 56
Short attention span (low persistence)High attention span (high persistence)
( For most part was able to sit thur a movie he likes)
Observations:
