Executive Skills Questionnaire

Basic Information

Executive Functioning Skills

Instructions: Please read each statement carefully and rate how well it describes you.

Rating Scale:

Response Inhibition

Working Memory

Emotional Control

Task Initiation

Sustained Attention

Planning/Prioritization

Organization

Time Management

Flexibility

Goal-Directed Persistence

Metacognition

Stress Tolerance

Summary Score Sheet

Name:

Age:

Date:

Total Score:

Subscores:

Individual Question Scores:

Interpretation:

Detailed Executive Skills Report

Scoring

Rating Scale: Each statement is rated from 1 (Strongly disagree) to 7 (Strongly agree).
Total Score: Sum the scores from all 36 statements. The maximum score is 252 (36 x 7).
Subscores: Calculate subscores by summing the relevant questions for each executive skill area.

Interpretation

Strengths and Challenges: Higher scores indicate more frequent difficulties. For example, a high score in "Time Management" suggests challenges in managing time effectively.
Percentiles: Compare the total score to normative data to see how you compare to peers.
Areas for Improvement: Focus on areas with the highest scores to target interventions.
Action Plan: Develop strategies to improve areas of difficulty.

Executive Skills Details and Strategies

Response Inhibition

Definition: Ability to think before acting or speaking.

Strategies:

Accommodations/Context:

Working Memory

Definition: Capacity to remember and follow instructions.

Strategies:

Accommodations/Context:

Emotional Control

Definition: Managing emotions effectively.

Strategies:

Accommodations/Context:

Task Initiation

Definition: Starting tasks promptly.

Strategies:

Accommodations/Context:

Sustained Attention

Definition: Maintaining focus on tasks.

Strategies:

Accommodations/Context:

Planning/Prioritization

Definition: Organizing tasks and setting priorities.

Strategies:

Accommodations/Context:

Organization

Definition: Keeping workspaces and materials orderly.

Strategies:

Accommodations/Context:

Time Management

Definition: Estimating time for tasks and sticking to schedules.

Strategies:

Accommodations/Context:

Flexibility

Definition: Adapting to changes and unexpected events.

Strategies:

Accommodations/Context:

Goal-Directed Persistence

Definition: Staying focused on long-term goals.

Strategies:

Metacognition

Definition: Reflecting on and adjusting your behavior.

Strategies:

Stress Tolerance

Definition: Handling stress and pressure effectively.

Strategies: