Executive Skills Questionnaire for Adults
Adapted from: Dawson & Guare, 2009
Name
First Name
Last Name
Email
example@example.com
Date
-
Month
-
Day
Year
Date
1) I don't jump to conclusions.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
2) I think before I speak.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
3) I don't take action without having all the facts.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
4) I have a good memory for facts, dates, and details.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
5) I am very good at remembering the things I have committed to do.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
6) I seldom need reminders to complete tasks.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
7) My emotions seldom get in the way when performing on the job.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
8) Little things do not affect me emotionally or distract me from the task at hand.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
9) I can defer my personal feelings until after a task has been completed.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
10) No matter what the task, I believe in getting started as soon as possible.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
11) Procrastination is usually not a problem for me.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
12) I seldom leave tasks to the last minute.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
13) I find it easy to stay focused on my work.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
14) Once I start an assignment, I work diligently until it's completed.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
15) Even when interrupted, I find it easy to get back and complete the job at hand.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
16) When I plan out my day, I identify priorities and stick to them.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
17) When I have a lot to do, I can easily focus on the most important things.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
18) I typically break big tasks down into subtasks and timelines.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
19) I am an organized person.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
20) It is natural for me to keep my work area neat and organized.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
21) I am good at maintaining systems for organizing my work.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
22) At the end of the day, I've usually finished what I set out to do.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
23) I am good at estimating how long it takes to do something.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
24) I am usually on time for appointments and activities.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
25) I think of myself as being driven to meet my goals.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
26) I easily give up immediate pleasures to work on long-term goals.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
27) I believe in setting and achieving high levels of performance.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
28) I routinely evaluate my performance and devise methods for personal improvement.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
29) I am able to step back from a situation to make objective decisions.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
30) I "read" situations well and can adjust my behavior based on the reactions of others.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
31) I take unexpected events in stride.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
32) I easily adjust to changes in plans and priorities.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
33) I consider myself flexible and adaptive to change.
Please Select
Strongly Disagree
Disagree
Tend to disagree
Neutral
Tend to agree
Agree
Strongly Agree
Submit
Calculation
1-3 Response Inhibition
Calculation
4-6 Working Memory
Calculation
7-9 Emotional Control
Calculation
10-12 Task Initiation
Calculation
13-15 Sustained Attention
Calculation
16-18 Planning/Prioritization
Calculation
19-21 Organization
Calculation
22-24 Time Management
Calculation
25-27 Goal-Directed Persistence
Calculation
28-30 Metacognition
Calculation
31-33 Flexibility
Should be Empty: