Executive Functioning Skills Questionnaire
adapted from "Smart, but Scattered for Teens".
Section 1
I tend to jump to conclusions.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I don't think before I speak.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I take action without having all the facts.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 2
I don't have a good memory for facts, dates, and details.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I am not very good at remembering the things I have committed to do.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I frequently need reminders to complete tasks.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 3
My emotions often get in the way when performing on the job.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Little things affect me emotionally or distract me from the task at hand.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I have trouble deferring my personal feelings until after a task has been completed.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 4
I get rattled when unexpected events occur.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I don't easily adjust to changes in plans and priorities.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I don't consider myself flexible and adaptive to change.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 5
I don't find it easy to stay focused on work
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Once I start an assignment, I have trouble working diligently until it's completed.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
When interrupted, I find it difficult to get back and complete the job at hand.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 6
No matter what the task, I have trouble getting started right away.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Procrastination is often a problem for me.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I often leave tasks to the last minute
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 7
When I plan out my day, I have trouble identifying properties and sticking to them.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
When I have a lot to do, I find it hard to focus on the most important things.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I typically don't break big tasks down into subtasks and timelines.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 8
I am not an organized person.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
It is difficult for me to keep my work area neat and organized.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I am not good at maintaining systems for organizing my work.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 9
At the end of the day, I usually have finished what I set out to do.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I am not good at estimating how long it takes to do something.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I am not usually on time for appointments and activities.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 10
I don't think of myself as being driven to meet my goals.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I don't easily give up immediate pleasures to work on long-term goals.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I usually don't focus on setting goals and achieving high levels of performance.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Section 11
I don't routinely evaluate my performance and devise methods for personal improvement.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
It is hard for me to step back from a situation to make objective decisions.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
I don't "read" situations well and struggle to adjust my behavior based on the reactions of others.
*
Strongly Agree
Agree
Tend to Agree
Neutral
Tend to Disagree
Disagree
Strongly Disagree
Back
Next
Response Inhibition
Working Memory
Emotional Control
Flexibility
Sustained Attention
Task Initiation
Planning/Prioritizing
Organization
Time Management
Goal Directed Persistence
Metacognition
Should be Empty: