BBCSS for Adults Form

The Brain-Body Center Sensory Scales (BBCSS) is a self-report questionnaire that links nervous system dynamics to behavior. The BBCSS includes questions across four categories: Auditory Processing, Visual Processing, Tactile Processing, and Eating and Feeding Behaviors. The purpose of the questionnaire is to determine how well your nervous system is processing stress. Consequently, if there is a dysfunction that is causing problems, the quiz helps determine what therapies could be most helpful.

Brain Body Center Sensory Scales (BBCSS) for Adults

Date

First Name

Last Name

Auditory Processing

1) How often do you respond negatively to unexpected or loud noises (for example, hide or cringe at noise from ambulance, train, fire or car alarm, fireworks)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

2) How often do you become distracted, or have difficulty following verbal instructions when there is a lot of noise around?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

3) How often do you hold your hands over or plug your ears?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

4) How often do you not to hear what others say (for example, you fail to pay attention to what others say)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

5) How often do you have trouble working with background noise (for example, air conditioner, traffic noises, airplanes)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

6) How often do you not respond when your name is called, even though you know your hearing is not a problem?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

7) How often are you unusually angry, frightened, or in pain when others cry or scream?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

8) How often do others have to speak loudly or get very close to your face to get your attention?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

9) How often are you unaware of continuous noise in the environment (for example, TV, stereo)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

10) How often are you overly aware, distracted, or disturbed by continuous noise in the environment (for example, TV, stereo)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

11) How often do you take a long time to respond when spoken to, even to familiar voices?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

12) How often do you startle easily at sound, compared to others, with loud or high-pitched noises (for example, vacuum, blender, fire alarms)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

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

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

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

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

Visual Processing

15) How often are you bothered by bright lights after others’ eyes have adapted to the same light?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

16) How often do you cover your eyes or squint?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

17) How often are you unable to tolerate bright lights?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

18) How often are you unable to tolerate flashing lights?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

19) How often do you get agitated when exposed to bright lights?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

20) How often are you sensitive to bright lights (for example, squint or close eyes)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

21) How often are you sensitive to flashing lights (for example, squint or close eyes)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

22) How often do you hesitate to go outside when it’s sunny?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

23) How often are you easily distracted by movement only you can see?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

24) How often are you easily distracted by movements of objects (i.e. mechanical objects or repetitive movements)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

Tactile Processing (Touch)

25) How often are you distressed or overly-sensitive to tooth-brushing?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

26) How often are you distressed or overly-sensitive to face-washing?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

27) How often are you distressed or overly-sensitive to fingernail-cutting?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

28) How often are you distressed or overly-sensitive to hair-brushing?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

29) How often do you remove labels or tags from most clothing, or ask that they be removed?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

30) How often do you refuse to wear certain fabrics or find certain fabrics irritating?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

31) How often do you find certain garments are too tight, scratchy or irritating?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

32) How often do you prefer to not wear certain clothing items?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

33) How often do you resist hugging?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

34) How often do you react negatively or overly sensitively to hand-holding?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

35) How often do you react emotionally or overly sensitively to being touched?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

36) How often do you react emotionally or overly sensitively when touching very cold objects with your hands?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

37) How often do you react emotionally or overly sensitively when very cold objects touch your face?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

Ingestion and Digestion

38) How often do you avoid certain tastes?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

39) How often do you resist certain textures of food?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

40) How often do you avoid certain food smells?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

41) How often do you resist certain temperatures of food?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

42) How often do you gag?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

43) How often do you vomit?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

44) How often do you have acid reflux?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

45) How often do you have excessive intestinal gas?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

46) How often are you constipated?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

47) How often do you experience stomach or intestinal cramping?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

48) How often do you have difficulty swallowing solid foods?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

49) How often do you suck on objects other than food (for example, pen, lip, own tongue)?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

50) How often do you eat (or want to eat) significantly less than you think is appropriate for your size or age?

Almost Always

Frequently

Sometimes

Almost Never

Not Sure

I understand that I must give 48 hours notice to avoid a full charge for a canceled session

Auditory Processing

Out of 56

Visual Processing

Out of 40

Tactile Processing

Out of 52

Ingestion and Digestion

Out of 52

Brain Body Center Sensory Scales (BBCSS) for Adults

Auditory Processing

Visual Processing

Tactile Processing (Touch)

Ingestion and Digestion

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Brain Body Center Sensory Scales (BBCSS) for Adults

Auditory Processing

Visual Processing

Tactile Processing (Touch)

Ingestion and Digestion

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