Executive Functioning Assessment

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Your Name* This field is required.
First Name
Last Name
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What Grade Level are you in?
9th Grade (C/O 2028)
11th Grade (C/O 2026)
10th Grade (C/O 2027)
12th Grade (C/O 2025)
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Student's School
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Student Email We will send your results and analysis to this email!
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Parent Email Please include a parent email we can forward your analysis to.
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On the next slides, you'll see different situations. Please tell us how much you agree or disagree with each one by using the scale below.
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At the end of the day, I've usually finished what I set out to do.* This field is required. Time Management Scenario
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Strongly Disagree
Strongly Agree
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I am good at estimating how long it takes to do something. * This field is required.Time Management Scenario
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Strongly Disagree
Strongly Agree
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I am usually on time for appointments and activities.* This field is required.Time Management Scenario
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Strongly Disagree
Strongly Agree
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No matter the task, I believe in getting started as soon as possible.* This field is required.Time Management Scenario
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Strongly Disagree
Strongly Agree
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Procrastination is usually not a problem for me.* This field is required.Time Management Scenario
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Strongly Disagree
Strongly Agree
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I rarely leave tasks to the last minute.* This field is required.Time Management Scenario
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Strongly Disagree
Strongly Agree
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When I plan out my day, I identify important tasks and stick to them* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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When I have a lot to do, I can easily focus on the most important things* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I typically break big tasks down into subtasks and timelines* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I find it easy to stay focused on my work* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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Once I start an assignment, I work attentively until it's completed.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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Even when interrupted, I find it easy to get back and complete the job at hand.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I take unexpected events with a positive mind.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I easily adjust to changes in plans and important tasks.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I consider myself to be flexible and adaptive to change.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I often check how I’m doing with school tasks and think of ways to get better.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I can look at a situation from a different angle so I can make fair choices.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I “read” situations well and can adjust my behavior based on the reactions of others.* This field is required.Plan Management Scenarios
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Strongly Disagree
Strongly Agree
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I am an organized person.* This field is required.Organization
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Strongly Disagree
Strongly Agree
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It is natural for me to keep my work area neat and organized.* This field is required.Organization
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Strongly Disagree
Strongly Agree
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I am good at maintaining systems for organizing my work* This field is required.Organization
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Strongly Disagree
Strongly Agree
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I have a good memory for facts, dates, and details.* This field is required.Organization
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Strongly Disagree
Strongly Agree
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I am very good at remembering the things I have committed to do.* This field is required.Organization
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Strongly Disagree
Strongly Agree
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I rarely need reminders to complete tasks* This field is required.Organization
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Strongly Disagree
Strongly Agree
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My emotions rarely get in the way when performing a task.* This field is required.Emotional Regulation
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Strongly Disagree
Strongly Agree
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Little things do not affect me emotionally or distract me from the task at hand.* This field is required.Emotional Regulation
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Strongly Disagree
Strongly Agree
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I can put aside my personal feelings until after a task has been completed.* This field is required.Emotional Regulation
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Strongly Disagree
Strongly Agree
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I enjoy working in a highly demanding, fast-paced environment.* This field is required.Emotional Regulation
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Strongly Disagree
Strongly Agree
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A certain amount of pressure helps me to perform at my best.* This field is required.Emotional Regulation
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Strongly Disagree
Strongly Agree
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Tasks that include some amount of surprise sounds good to me.* This field is required.Emotional Regulation
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Strongly Disagree
Strongly Agree
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I don't jump to conclusions.* This field is required.Behavioral Regulation
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Strongly Disagree
Strongly Agree
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I think before I speak.* This field is required.Behavioral Regulation
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Strongly Disagree
Strongly Agree
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I don't take action without having all the facts.* This field is required.Behavioral Regulation
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Strongly Disagree
Strongly Agree
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I think of myself as being driven to meet my goals.* This field is required.Behavioral Regulation
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Strongly Disagree
Strongly Agree
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I easily give up immediate rewards to work on long-term goals.* This field is required.Behavioral Regulation
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Strongly Disagree
Strongly Agree
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I believe in setting and achieving high levels of performance.* This field is required.Behavioral Regulation
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Strongly Disagree
Strongly Agree
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