Executive Functioning - Parent Assessment
Welcome to Learnfully's Executive Functioning Assessment! Please fill out the answers for your learner to the best of your ability. Complete the following and we'll forward your personalized results via email within a business day! This should take 10-15 minutes.
Parent/Caregiver Name
*
First Name
Last Name
Email
*
example@example.com
Age
*
Please Select
5 - 11
12 - 18
During the past 4 weeks, how often does your child ...
Think before acting?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Have good thoughts about everyone?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Finish a boring task?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Forget instructions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Complete one task before starting a new one?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Ask for help when needed?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Come up with a new way to reach a goal?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Remember how to do something?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Prepare for school or work?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Control emotions when under stress?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Work well in a noisy environment?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Stay calm when handling small problems?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Organize their thoughts well?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Fix their mistakes?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Solve problems creatively?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Start something without being asked?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Change a plan that was not working?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Appear disorganized?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Find it hard to control their actions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Only care about what's best for others?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Work well for a long time?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Do things in the right order?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Forget instructions with many steps?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Get bothered by something?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Concentrate while reading?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Remember many things at one time?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Complete homework or tasks on time?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Plan for future events?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Learn from past mistakes?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Start conversations?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Keep goals in mind while making decisions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Think of consequences before acting?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Have a bad day?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Work neatly?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Find a strategy that worked?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Stay on topic while talking?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Keep track of time?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Maintain self-control?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Take on new projects?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Need others to tell them to get started on things?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Come up with different ways to solve problems?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Find it hard to control their emotions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Forget to do things?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Pay attention for a long time?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Have many ideas about how to do things?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Do things the wrong way?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Get upset when plans were changed?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Arrive late?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Have trouble waiting to get what they wanted?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Know what to do first?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Need instructions to be repeated?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Keep track of belongings?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Notice their mistakes?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Get embarrassed?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Take initiative?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Concentrate?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Remember important things?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Appear motivated?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Show bad judgement when making decisions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Change their behavior as needed?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Do things perfectly?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Pay attention during a boring task?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Manage several tasks at once?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Wait patiently?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Need help to get started on a task?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Like everyone they met?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Solve a problem in different ways?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Become upset in new situations?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Make careless errors?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Keep a commitment?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Have trouble solving problems?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Remember what they read?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Respond calmly to delays?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Have trouble waiting their turn?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Get distracted?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Organize tasks well?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Know the right answer?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Fail to put plans into action?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
React well to surprises?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Pay attention to details?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
React with the right level of emotion?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Know when a task was completed?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Manage money?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Starts tasks easily?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Forget where they put things?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Think through their decisions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Remember what they heard?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Use the same strategy even when it didn't work?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Manage time effectively?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Plan ahead?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Listen closely to instructions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Keep a promise?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Need others to tell them to do things?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Make a lot of mistakes?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Get upset?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Respond thoughtfully?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Focus on one thing?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Complete a task that took a long time?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Accept a different way of doing things?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Make good decisions?
*
Never
Rarely
Sometimes
Often
Very Often
Always
Calculation
Submit
Should be Empty: