Forms - Executive Skills Questionnaire

Questionnaire Credit: from Coaching Students With Executive Skills Deficits
Peg Dawson and Richard Guare, 2012 The Guilford Press) Link to book on Amazon

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1. I don’t jump to conclusions
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2. I think before I speak.
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3. I don’t take action without having all the facts.
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Your total score (section 1):
4. I have a good memory for facts, dates, and details.
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5. I am very good at remembering the things I have committed to do.
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6. I seldom need reminders to complete tasks.
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Your total score (section 2):
7. My emotions seldom get in the way when performing on the job.
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8. Little things do not affect me emotionally or distract me from the task at hand.
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9. I can defer my personal feelings until after a task has been completed
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Your total score (section 3):
10. No matter what the task, I believe in getting started as soon as possible.:
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11. Procrastination is usually not a problem for me.
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12. I seldom leave tasks to the last minute.
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Your total score (section 4):
13. I find it easy to stay focused on my work.
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14. Once I start an assignment, I work diligently until it’s completed.
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15. Even when interrupted, I find it easy to get back and complete the job at hand.
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Your total score (section 5):
16. When I plan out my day, I identify priorities and stick to them
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17. When I have a lot to do, I can easily focus on the most important things.
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18. I typically break big tasks down into subtasks and timelines.
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Your total score (section 6):
19. I am an organized person.
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20. It is natural for me to keep my work area neat and organized.
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21. I am good at maintaining systems for organizing my work.
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Your total score (section 7):
22. At the end of the day, I’ve usually finished what I set out to do.
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23. I am good at estimating how long it takes to do something.
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24. I am usually on time for appointments and activities.
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Your total score (section 8):
25. I take unexpected events in stride.
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26. I routinely evaluate my performance and devise methods for
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Scale Rating:27. I consider myself to be flexible and adaptive to change.
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Your total score (section 9):
28. I routinely evaluate my performance and devise methods for personal improvement.
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29. I am able to step back from a situation in order to make objective decisions.
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30. I “read” situations well and can adjust my behavior based on the reactions of others.
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Your total score (section 10):
31. I think of myself as being driven to meet my goals.
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32. I easily give up immediate pleasures to work on long-term goals.
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33. I believe in setting and achieving high levels of performance.
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Your total score (section 11):
34. I enjoy working in a highly demanding, fast-paced environment.
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36. Jobs that include a fair degree of unpredictability appeal to me.
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35. A certain amount of pressure helps me to perform at my best.
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Your total score (section 12):

KEY

ItemsExecutive SkillItemsExecutive Skill
1 - 3Response Inhibition4 - 6Working Memory
7 - 9Emotional Control10 - 12Task Initiation
13 - 15Sustained Attention16 - 18Planning / Prioritization
19 - 21Organization22 - 24Time Management
25 - 27Flexibility28 - 30Metacognition
31 - 33Goal-Directed Persistence34-36Stress tolerance
Strongest Skills*
Weakest Skills:*
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