Sensory Circuit Tracker Document
Sensory Lab Report
Weekly Performance & Arousal Log
Student
Week Of
Prompting Key
I: Indep. V: Verbal G: Gest. P: Phys.
Arousal Levels
1: Low 2: Good 3: High
| Station | MON | TUE | WED | THU | FRI |
|---|
| Pre-Circuit | | | | | |
| Arousal | 1 2 3 | 1 2 3 | 1 2 3 | 1 2 3 | 1 2 3 |
| | | | | |
| Crabwalk | | | | | |
|
DONE
P:
T:
|
DONE
P:
T:
|
DONE
P:
T:
|
DONE
P:
T:
|
DONE
P:
T:
|
|
Bear Walk
|
DONE
P:
T:
|
DONE
P:
T:
|
DONE
P:
T:
|
DONE
P:
T:
|
DONE
P:
T:
|
|
Chair Push Ups
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
|
Wall Push
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
|
Squigz
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
|
Theraputty
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
|
Steamroller
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
P: __ T: __
|
| Post-Circuit
Arousal | 1 2 3 | 1 2 3 | 1 2 3 | 1 2 3 | 1 2 3 |
Weekly Observation Log
SENSORY CIRCUIT LOG • VERSION 1.2 Document Progress
Sensory Guide Teacher Resource
Prompting & Arousal Guide
Teacher & Therapist Reference for Sensory Circuit Data Collection
Prompting Hierarchy
Independent (I) Level 1
Student initiates and completes the activity with no adult support or cues.
Verbal (V) Level 2
Student requires spoken reminders, directions, or encouraging words to complete the task.
Gestural (G) Level 3
Student requires a gesture (pointing, nodding, demonstrating) to understand the next step.
Physical (P) Level 4
Student requires light physical guidance or hand-over-hand assistance to perform the activity.
Arousal States
Level 1: Under-Aroused
Signs: Lethargic, slow movements, day-dreaming, "slumped" posture, difficult to engage, slow processing.
Level 2: Regulated
Signs: Focused, "just right" energy, ready to learn, follows directions easily, calm but alert.
Level 3: Over-Aroused
Signs: Fidgety, hyperactive, loud, difficulty following instructions, crashing into objects, distracted.
Data Tip
Record Pre-Arousal immediately upon student arrival and Post-Arousal 5 minutes after the circuit is complete to observe the "settling" effect of the proprioceptive and vestibular input.