Executive Skills Questionnaire

Executive Skills Questionnaire

  • Parent Executive Skills Questionnaire (Ages 12+)

    This assessment is designed to evaluate a child’s or adolescent’s executive functioning skills and identify difficulties that may affect academic performance, daily responsibilities, self-regulation, behavior, and decision-making.

    The questionnaire measures several key areas, including:

    • Impulse control and thinking before acting

    • Working memory and remembering instructions

    • Emotional regulation

    • Task initiation and procrastination

    • Sustained attention and task completion
    • Planning and prioritization

    • Personal organization
    • Time management

    • Flexibility and adapting to change

    • Self-monitoring and learning from mistakes

    • Goal-directed persistence

    • Stress tolerance and coping under pressure

    Age Range:

    Suitable for children and adolescents aged 12 years and above, based on parent-report observations over the past 3 months.

    After the Assessment:

    You will receive:
    • A detailed analysis of the results

    • Identification of executive strengths and weaknesses

    • Explanation of academic or behavioral challenges

    • A clear and simplified home support plan

    • Professional therapeutic and educational recommendations

    Why It Matters:

    This assessment helps understand how the child manages daily life tasks such as starting work, organizing time, controlling emotions, staying focused, and persisting through challenges.
    It is highly valuable in cases involving distractibility, procrastination, forgetfulness, emotional reactivity, and poor responsibility skills..

    Therapeutic Approach:

    Results are interpreted using executive function frameworks and occupational therapy principles, then translated into practical strategies for home and school environments.


    Instructions for Parent:


    Please read each statement and rate how accurately it describes your child over the past 3 months.:

     


    Section 1: Response Inhibition

     

    *Thinks before speaking.

    *Pauses before reacting when upset.

    *Can wait for their turn without interrupting.


    Section 2: Working Memory

     

    * Remembers multi-step directions.

    *Remembers what was asked without frequent reminders.

    *Can hold information in mind while doing a task.


    Section 3: Emotional Control

     

    *Handles frustration with relative calm.

    *Small things do not greatly affect mood.

    *Can calm down after becoming upset.


    Section 4: Task Initiation

     

    *Starts homework or tasks without major delay.

    *Does not procrastinate much when responsibilities exist.

    *Can begin even when the task is not enjoyable.


    Section 5: Sustained Attention

     

    *Maintains focus during tasks.

    *Finishes tasks through to completion.

    *Returns to task easily after interruptions.


    Section 6: Planning / Prioritization

     

    *Knows what should be started first.

    *Breaks large tasks into smaller steps.

    *Can prioritize when many tasks exist.


    Section 7: Organization

     

    *Keeps belongings organized.

    *Knows where important items are.

    *Keeps bag / room / desk organized.


    Section 8: Time Management

     

    *Usually arrives on time.

    *Estimates time needed for tasks well.

    *Uses time appropriately during the day.


    Section 9: Flexibility

     

    *Accepts plan changes without major distress.

    *Adjusts to new situations.

    *Can change approach if the first one fails.


    Section 10: Metacognition

     

    *Notices mistakes and tries to correct them.

    *Learns from past experiences.

    *Thinks about performance and how to improve it.


    Section 11: Goal-Directed Persistence

     

    *Keeps going even when tasks are hard.

    *Gives up immediate pleasure for later goals.

    *Stays committed to goals until achieved.


    Section 12: Stress Tolerance

     

    *Works well under pressure.

    *Handles unexpected situations reasonably well.

    *Can continue functioning despite stress.


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