Being very hungry creates a strong reaction in me, disrupting my concentration or mood. *

True

False

I seem to be aware of subtleties in my environment. *

True

False

I find myself needing to withdraw during busy days, into bed or into a darkened room or any place where I can have some privacy and relief from stimulation. *

True

False

I tend to be very sensitive to pain. *

True

False

When I was a child, my parents or teachers seemed to see me as sensitive or shy. *

True

False

Other people’s moods affect me. *

True

False

I am easily overwhelmed by things like bright lights, strong smells, coarse fabrics, or sirens close by. *

True

False

I am particularly sensitive to the effects of caffeine. *

True

False

I get rattled when I have a lot to do in a short amount of time. *

True

False

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