BBCSS-Caregiver Self Scoring Form — Traumatic Stress Research Consortium

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Assessment Tools

Assessment Tools Overview

Body Perception Questionnaire

Neuroception of Safety Scale

Brain Body Center Sensory Scales

Purpose in Life Scale

Assessment Tools

Assessment Tools Overview

Body Perception Questionnaire

Neuroception of Safety Scale

Brain Body Center Sensory Scales

Purpose in Life Scale

Folder: Assessment Tools

Assessment Tools Overview

Body Perception Questionnaire

Neuroception of Safety Scale

Brain Body Center Sensory Scales

Purpose in Life Scale

Body Brain Center Sensory Scales (BBCSS) - Caregiver Form

The Brain Body Center Sensory Scales (BBCSS) are designed as a general, preliminary assessment of behaviors related to sensory processing profiles, including auditory, visual, and tactile processing, and feeding behaviors. Individual responses to different environmental stimuli vary widely, and learning more about a child’s sensory processing is an important component of any comprehensive behavioral evaluation. If you are unsure whether your child has ever displayed the behavior in question, or if your child has NEVER displayed the behavior please answer Not sure/Not Applicable.

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Auditory Hypersensitivity Auditory Hyposensitivity Visual Hypersensitivity Tactile Hypersensitivity Affiliative Touch Aversion Selective Eating Ingestive Digestive

1. How often does your child respond negatively to unexpected or loud noises (for example, hides or cries at noise from ambulance, train, fire or car alarm, fireworks)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

2. How often does your child become distracted, or have difficulty following verbal instructions when there is a lot of noise around?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

3. How often does your child hold his/her hands over the ears?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

4. How often does your child appear not to hear what you say (for example, does not seem to pay attention to what you say, appears to ignore you)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

5. How often does your child have trouble working with background noise (for example, air conditioner, traffic noises, airplanes)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

6. How often does your child not respond when his/her name is called, even though you know the child’s hearing is not a problem?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

7. How often is your child unusually angry or frightened or appear in pain when others cry or scream?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

8. How often do you have to speak loudly or get very close to your child’s face to get your child’s attention?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

9. How often does your child seem unaware of continuous noise in the environment (for example, TV, stereo)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

10. How often does your child seem overly aware, distracted, or disturbed by continuous noise in the environment (for example, TV, stereo)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

11. How often does your child take a long time to respond when spoken to, even to familiar voices?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

12. How often does your child startle easily at sound, compared to other children the same age, with loud or high- pitched noises (for example, vacuum, blender, fire alarms)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

13. How often is your child distracted by sounds not normally noticed by other people (for example, air conditioning fans, trains or planes outside)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

14. How often does your child respond negatively (i.e. tantrum, become distracted or anxious) when entering places with continuous background noises (for example, grocery stores, schools, shopping malls)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

15. How often is your child bothered by bright lights after your eyes or other children’s eyes have adapted to the same light?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

16. How often does your child cover his/her eyes or squint?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

17. How often does your child seem unable to tolerate bright lights?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

18. How often does your child seem unable to tolerate flashing lights?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

19. How often does your child get fussy when exposed to bright lights?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

20. How often does your child seem sensitive to bright lights (for example, cries or closes eyes)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

21. How often does your child seem sensitive to flashing lights (for example, cries or closes eyes)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

22. How often does your child hesitate to go outside when it’s sunny?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

23. How often does your child seem easily distracted by movement he/she can see?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

24. How often does your child seem easily distracted by movements of objects (i.e. mechanical toys or cars)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

25. How often does your child seem distressed by tooth-brushing?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

26. How often does your child seem distressed by face-washing?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

27. How often does your child seem distressed by fingernail-cutting?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

28. How often does your child seem distressed by hair-brushing?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

29. How often does your child insist that labels or tags be removed from most clothing?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

30. How often does your child refuse to wear certain fabrics or cry or fuss in response to wearing certain fabrics?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

31. How often does your child complain that certain garments are too tight or scratchy?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

32. How often does your child prefer to not wear clothing?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

33. How often does your child resist hugging?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

34. How often does your child react negatively or aggressively to hand-holding?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

35. How often does your child react emotionally or aggressively to being touched?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

36. How often does your child react emotionally or aggressively when touching very cold objects with his/her hands?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

37. How often does your child react emotionally or aggressively when very cold objects touch his/her face?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

38. How often does your child avoid certain tastes?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

39. How often does your child resist certain textures of food?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

40. How often does your child avoid certain food smells?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

41. How often does your child resist certain temperatures of food?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

42. How often does your child gag?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

43. How often does your child vomit?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

44. How often does your child have acid reflux?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

45. How often does your child have excessive intestinal gas?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

46. How often does your child become constipated?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

47. How often does your child experience stomach or intestinal cramping?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

48. How often does your child seem to have difficulty swallowing solid foods?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

49. How often does your child suck on objects other than food (for example, pacifier, own tongue, thumb)?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

50. How often does your child eat (or want to eat) significantly less than you think is appropriate for his/her size or age?

Almost Always Frequently/Often Sometimes/Occasionally Almost Never Not Sure/Not Applicable

The scores will display once you have responded to every statement.

The BBCSS is complete, and the summary scores are printed below. You can find further information about the interpretation of these values on the TSRC website by following this link

Subscale Scores (Reported as Means: Almost Never = 1 ... Almost Always = 4)

You can find further information about the interpretation of these values on the TSRC website by following this link

To protect confidentiality, this calculator does not save your data. If you wish to save your score, please copy and paste the text above to another location.

References

1. Porges, S. W. (2012). The Brain-Body Center Sensory Scales (BBCSS). The Brain-Body Center. Chicago: University of Illinois at Chicago.

2. Kolacz, J., Raspa, M., Heilman, K.J. et al. Evaluating Sensory Processing in Fragile X Syndrome: Psychometric Analysis of the Brain Body Center Sensory Scales (BBCSS). J Autism Dev Disord 48, 2187–2202 (2018).

3. Keith, J.M., Jamieson, J.P. & Bennetto, L. The Importance of Adolescent Self-Report in Autism Spectrum Disorder: Integration of Questionnaire and Autonomic Measures. J Abnorm Child Psychol 47, 741–754 (2019).

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