Executive Functioning Quiz - Amy Bodkin Consulting

Executive Functioning Quiz

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Executive Functioning Quiz

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. Use the total of each section to determine your executive skill strengths (2-3 highest scores) and weaknesses (2-3 lowest scores). RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7 ~Created by: Peg Dawson & Richard Guare

Name(Required)

First Last

Email(Required)

Response Inhibition

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

1. I don’t jump to conclusions.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

2. I think before I speak.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

3. I don’t take action without having all the facts.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Response Inhibition (1 – 3)

Working Memory

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

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

Please enter a number from 1 to 7.

Scale 1 to 7

5. I am very good at remembering the things I have committed to do.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

6. I seldom need reminders to complete tasks.(Required)

Please enter a number from 1 to 7.

Total for Working Memory (4-6)

Emotional Control

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

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

Please enter a number from 1 to 7.

Scale 1 to 7

8. Little things do not affect me emotionally or distract me from the task at hand.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

9. I can defer my personal feelings until after a task has been completed.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Emotional Control (7-9)

Task Initiation

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

10. No matter what the task, I believe in getting started as soon as possible.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

11. Procrastination is usually not a problem for me.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

12. I seldom leave tasks to the last minute.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Task Initiation (10 – 12)

Sustained Attention

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

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

Please enter a number from 1 to 7.

Scale 1 to 7

14. Once I start an assignment, I work diligently until it’s completed.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

15. Even when interrupted, I find it easy to get back and complete the job at hand.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Sustained Attention (13 – 15)

Planning / Prioritization

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

16. When I plan out my day, I identify priorities and stick to them.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

17. When I have a lot to do, I can easily focus on the most important things .(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

18. I typically break big tasks down into subtasks and timelines.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Planning / Prioritization (16 – 18)

Organization

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

19. I am an organized person.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

20. It is natural for me to keep my work area neat and organized.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

21. I am good at maintaining systems for organizing my work.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Organization (19 – 21)

Time Management

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

22. At the end of the day, I’ve usually finished what I set out to do.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

23. I am good at estimating how long it takes to do something.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

24. I am usually on time for appointments and activities.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Time Management (22 – 24)

Flexibility

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

25. I take unexpected events in stride.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

26. I easily adjust to changes in plans and priorities.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

27. I consider myself to be flexible and adaptive to change.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Flexibility (25 – 27)

Metacognition

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

28. I routinely evaluate my performance and devise methods for personal improvement.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

29. I am able to step back from a situation in order to make objective decisions.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

30. I “read” situations well and can adjust my behavior based on the reactions of others.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Metacognition (28 – 30)

Goal-Directed Persistence

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

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

Please enter a number from 1 to 7.

Scale 1 to 7

32. I easily give up immediate pleasures to work on long-term goals.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

33. I believe in setting and achieving high levels of performance.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Goal-Directed Persistence (31 – 33)

Stress tolerance

RATING SCALE: Strongly disagree 1, Disagree 2, Tend to disagree 3, Neutral 4, Tend to agree 5, Agree 6, Strongly agree 7

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

Please enter a number from 1 to 7.

Scale 1 to 7

35. A certain amount of pressure helps me to perform at my best.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

36. Jobs that include a fair degree of unpredictability appeal to me.(Required)

Please enter a number from 1 to 7.

Scale 1 to 7

Total for Stress tolerance (34 – 36)

Amy Bodkin, EdS

Owner, Amy Bodkin Consulting LLC

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Autism, Boost, Executive Functioning, Homeschooling, Organization, Planning, Time Management

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