Daily Sensory Diet Planner – Full Day Format

 

🗓️ Daily Sensory Diet Planner – Full Day Format

🧒 Child's Name: ____________________

🧠 Sensory Profile (check all that apply):

☐ Over-Responsive ☐ Under-Responsive ☐ Sensory Seeking ☐ Mixed

🗓️ Date: ___________ | 📍Setting: ☐ Home ☐ School ☐ Therapy

 

Time of Day

Scheduled Activity

Targeted Sensory System

Expected Outcome (Calm/Alert/Focused)

Child’s Response (tick or note)

Wake-Up

Morning Routine

Pre-School

Mid-Morning

Lunchtime

Early Afternoon

After School

Evening Routine

Pre-Bedtime

🌟 Notes & Observations:

🧩 Adjustments for Tomorrow (if needed):

 

✅ Key Sensory Systems for Reference

System

Code

Tactile (Touch)

T

Vestibular

V

Proprioceptive

P

Visual

VS

Auditory

A

Olfactory

O

Gustatory

G

Interoceptive

I

🧾 Quick Use Symbols (optional for daily use)

Symbol

Meaning

☀️

Alerting

🌤️

Organizing

🌙

Calming

✅

Completed successfully

❗

Child resisted

🔁

Needs to repeat

 

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