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Weekly Sensory & Routine Log

A self-monitoring tool for supporters — track sensory triggers, routine disruptions, communication patterns, and what accommodations are working. Not a clinical assessment. A pattern-recognition tool.

Standalone Tool

Daily Check-In (One Row Per Day)

Day

Sensory Distress Observed (0-5)

Routine Disruption Level (0-5)

Meltdown/Shutdown? (M/S/None)

Communication Quality (0-5)

Notes

Accommodations & Strategies Used This Week

Sensory Accommodation (describe)

Transition Warning Given (Y/N, how much lead time)

Visual Support Used (schedule, social story, etc.)

Used Special Interest as Bridge (describe)

Reduced Demands When Needed (Y/N)

Regulation Exercise Used

Weekly Reflection

The hardest moment this week was:

An accommodation that clearly helped:

Something I tried that did not work (and why I think so):

A sensory pattern I am starting to notice:

Self-care I actually did (not planned — did):

Example: Example: Elena's Week 3 Log

Elena is supporting her 14-year-old son who is autistic. This is what her Tuesday entry looked like.

Day

Tuesday

Sensory Distress Observed (0-5)

Routine Disruption Level (0-5)

3 — substitute teacher at school

Meltdown/Shutdown? (M/S/None)

S — shutdown after school for ~45 min

Communication Quality (0-5)

2 — mostly nonverbal until dinner

Notes

The substitute changed the classroom seating. He came home and went straight to his room. I left a snack outside his door and waited.