0% found this document useful (0 votes)
2K views2 pages

Executive Function Skills Questionnaire PDF

This document is an executive skills questionnaire that asks respondents to rate themselves on a scale from 1 to 7 on various statements relating to executive skills. It is divided into sections assessing different executive skills like response inhibition, emotional control, task initiation, planning, organization, time management, flexibility, metacognition, goal-directed persistence, and stress tolerance. Upon completion, respondents can identify their strongest and weakest executive skills based on their highest and lowest scoring sections.

Uploaded by

Nikaelly Lages
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
2K views2 pages

Executive Function Skills Questionnaire PDF

This document is an executive skills questionnaire that asks respondents to rate themselves on a scale from 1 to 7 on various statements relating to executive skills. It is divided into sections assessing different executive skills like response inhibition, emotional control, task initiation, planning, organization, time management, flexibility, metacognition, goal-directed persistence, and stress tolerance. Upon completion, respondents can identify their strongest and weakest executive skills based on their highest and lowest scoring sections.

Uploaded by

Nikaelly Lages
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Executive Skills Questionnaire —

Peg Dawson & Richard Guare

Step I: Read each item below and then rate that item based on the extent to which you agree or
disagree with how well it describes you. Use the rating scale below to choose the appropriate
score. Then add the three scores in each section. Use the Key on page 2 to determine your
executive skill strengths (2-3 highest scores) and weaknesses (2-3 lowest scores).

Strongly disagree 1 Tend to agree 5


Disagree 2 Agree 6
Tend to disagree 3 Strongly agree 7
Neutral 4

Item Your score


1. I don’t jump to conclusions
2. I think before I speak.
3. I don’t take action without having all the facts.
YOUR TOTAL SCORE:

4. I have a good memory for facts, dates, and details.


5. I am very good at remembering the things I have committed to do.
6. I seldom need reminders to complete tasks
YOUR TOTAL SCORE:

7. My emotions seldom get in the way when performing on the job.


8. Little things do not affect me emotionally or distract me from the task at hand.
9. I can defer my personal feelings until after a task has been completed
YOUR TOTAL SCORE:

10. No matter what the task, I believe in getting started as soon


as possible.
11. Procrastination is usually not a problem for me.
12. I seldom leave tasks to the last minute
YOUR TOTAL SCORE:

13. I find it easy to stay focused on my work.


14. Once I start an assignment, I work diligently until it’s completed.
15. Even when interrupted, I find it easy to get back and complete the job at hand.
YOUR TOTAL SCORE:

16. When I plan out my day, I identify priorities and stick to them
17. When I have a lot to do, I can easily focus on the most important things .
18. I typically break big tasks down into subtasks and timelines.
YOUR TOTAL SCORE:
19. I am an organized person.
20. It is natural for me to keep my work area neat and organized.
21. I am good at maintaining systems for organizing my work.
YOUR TOTAL SCORE:

25   
Strongly disagree 1 Tend to agree 5
Disagree 2 Agree 6
Tend to disagree 3 Strongly agree 7
Neutral 4
Item Your score
22. At the end of the day, I’ve usually finished what I set out to do.
23. I am good at estimating how long it takes to do something.
24. I am usually on time for appointments and activities.
YOUR TOTAL SCORE:

25. I take unexpected events in stride.


26. I easily adjust to changes in plans and priorities.
27. I consider myself to be flexible and adaptive to change.
YOUR TOTAL SCORE:

28. I routinely evaluate my performance and devise methods for


personal improvement.
29. I am able to step back from a situation in order to make objective
decisions.
30. I “read” situations well and can adjust my behavior based on the reactions of others.
YOUR TOTAL SCORE:

31. I think of myself as being driven to meet my goals.


32. I easily give up immediate pleasures to work on long-term goals.
33. I believe in setting and achieving high levels of performance.
YOUR TOTAL SCORE:

34. I enjoy working in a highly demanding, fast-paced environment.


35. A certain amount of pressure helps me to perform at my best.
36. Jobs that include a fair degree of unpredictability appeal to me.
YOUR TOTAL SCORE:

KEY

Items Executive Skill Items Executive Skill

1-3 Response Inhibition 4-6 Working Memory


7-9 Emotional Control 10 - 12 Task Initiation
13 - 15 Sustained Attention 16 - 18 Planning/Prioritization
19 - 21 Organization 22 - 24 Time Management
25 - 27 Flexibility 28 - 30 Metacognition
31 - 33 Goal-Directed Persistence 34-36 Stress tolerance

Strongest Skills Weakest Skills

Executive Skill Definitions 
 

26   

You might also like