SSC Self-Assessment For questions with a slider, place the slider knob in the position that most nearly reflects your answer. Welcome to your SSC Self-Assessment. For the questions that follow, please answer for yourself or your loved one. Your responses are confidential. The self-assessment tool will guide you through the following steps:The SSC Self-Assessment is a short questionnaire (5-10 minutes) designed to provide insight into what sort of services may be worth your consideration.When you're finished, you will be asked for your email address so we can send you your results.Finally, your results will be displayed for you to review and print. Please note that this self-assessment does not represent a formal diagnosis. It is only intended to provide you with insights into what areas of service are worth your consideration. For a proper diagnosis, you should always consult with a Health Professional. Has participated in Homework Help by SSCYesNo Has Homework Help been helpful?NoYes Has undergone neuropsychological or neurodevelopmental testingYesNo Was the information helpful?NoYes Has participated in therapyYesNoPrefer not to say Is it helpful?NoYes 1 out of 8 Currently a studentYesNo Has difficulty with starting school workNoYes Has difficulty with completing school workNoYes Has difficulty participating in classNoYes Has difficulty taking testsNoYes Feels anxious about school workNoYes Has legible handwritingNoYes 2 out of 8 Frequently argues with adults or people in chargeNoYes Follows rules or requests from people in chargeNoYes Worries about what peers thinkNoYes Interacts with others better in person versus online/virtualNoYes Interacts with other people easilyNoYes Prefers one-on-one interactions rather than groupsNoYes 3 out of 8 Handwriting is messy and takes effortYesNo Has an unusually high activity levelNoYes Posture or motor coordination are challengingNoYes Easily put off by food textures and/or smellsYesNo The world seems too loud, bright, fast, and closeNoYes Hugs or other forms of touch cause discomfortYesNo Selective about clothing because tags and fabrics are irritatingYesNo 4 out of 8 Only likes certain foodsNoYes Appetite is the same as it always has beenNoYes Regularly experiences stomach/digestive issuesNoYes Feels tired despite getting adequate sleep and caloriesNoYes Experiences frequent medical issuesNoYes Struggles with painNoYes 5 out of 8 Is able to understand concepts easilyNoYes Mind often wanders when others are talkingNoYes Struggles to complete tasksNoYes Has difficulty remembering informationNoYes Able to respond quicklyNoYes Gets started on tasks easilyNoYes 6 out of 8 Emotions are well-controlledNoYes Worries are difficult to controlNoYes Low mood gets in the way of doing thingsNoYes Has difficulty falling and/or staying asleepNoYes Struggling with personal relationshipsNoYes Frequently has distressing thoughtsNoYes 7 out of 8 We would be happy to follow up with you to discuss your results further. Would you like us to contact you to discuss your results? (you will be asked to provide your contact info on the next screen)YesNo 8 out of 8 You have completed the Questions portion of the SSC Self-Assessment.Please enter your email address to view your results and receive a copy by email. Name Email I understand that the information collected in this quiz does not represent consent for services and is not diagnostic. I also understand that my information will not be shared with a 3rd party, and that SSC may contact me to discuss these results and recommendations. Time is Up!