Almost Seldom Half the Usually Almost Always 9. Does it appear to you that this person enjoys Time Always performing this behavior? (it feels, tastes, looks, smells, and/or sounds pleasing.) 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 10. Does this person seem to do the behavior to upset Time Always or annoy you when you are trying to get him or her to do what you ask? 0 1 2 3 4 5 6 11. Does this person seem to do the behavior to or Never Almost Seldom Half the Usually Almost Always annoy you when you are not paying attention to him or Never Time Always her? (For example, if you are sitting in a separate room, interacting with another person.) 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 12. Does the behavior stop occurring shortly after you Never Time Always give this person the toy, food or activity he or she has requested? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 13. When the behavior is occurring, does this person Never Time Always seem calm and unaware of anything else going on around him or her? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 14. Does the behavior stop occurring shortly after (one Never Time Always to five minutes) you stop working or making demands of this person? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 15. Does this person seem to do the behavior to get you Never Time Always to spend some time with him or her? 0 1 2 3 4 5 6 Never Almost Seldom Half the Usually Almost Always 16. Does the behavior seem to occur when this person Never Time Always has been told that he or she can't do something he or she had wanted to do? 0 1 2 3 4 5 6 Sensory Escape Attention Tangible 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Total Score: Mean Score: Relative Ranking: 1986 V. Mark Durand, Ph. D.
9. Does it appear to you that this person enjoys performing this behavior? (it feels, tastes, looks, smells, and/or sounds pleasing.) 0 Almost 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 10. Does this person seem to do the behavior to upset or annoy you when you are trying to get him or her to do what you ask? Never 0 Almost 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 11. Does this person seem to do the behavior to or annoy you when you are not paying attention to him or her? (For example, if you are sitting in a separate room, interacting with another person.) Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 12. Does the behavior stop occurring shortly after you give this person the toy, food or activity he or she has requested? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 13. When the behavior is occurring, does this person seem calm and unaware of anything else going on around him or her? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 14. Does the behavior stop occurring shortly after (one to five minutes) you stop working or making demands of this person? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 15. Does this person seem to do the behavior to get you to spend some time with him or her? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 16. Does the behavior seem to occur when this person has been told that he or she can't do something he or she had wanted to do? Never 0 Almost Never 1 Seldom 2 Half the Time 3 Usually 4 Almost Always 5 Always 6 Sensory Escape Attention Tangible 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. Total Score: Mean Score: Relative Ranking: 1986 V. Mark Durand, Ph. D.
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