Sensory Emotion Feedback Chart
Use this chart to track how each student feels when they use their senses. Fill in a check (✔) or a brief note in each cell after the student shares their experience.
Student Name: __________________________ Date: _______________
| Emotion \ Sense | Sight | Hearing | Smell | Taste | Touch |
|---|---|---|---|---|---|
| 😊 Happy | |||||
| 😌 Calm | |||||
| 🤩 Excited | |||||
| 😲 Surprised | |||||
| 😞 Upset | |||||
| 😟 Worried | |||||
| 😣 Uncomfortable | |||||
| 🤒 Sick | |||||
| 😴 Tired | |||||
| Other: __________ |
Teacher Observations / Notes:
Use this chart after sensory activities or discussions. Repeat for each student to build a profile of their sensory–emotion connections over time.












Sight
Hearing
Touch