Executive Skills Questionnaire - : Your Total Score

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
Response Inhibition: The capacity to think before you act – this ability to resist the urge to say or do
something allows us the time to evaluate a situation and how our behavior might impact it. In the
young child, waiting for a short period without being disruptive is an example of response inhibition
while in the adolescent it would be demonstrated by accepting a referee’s call without an argument.
Working Memory: The ability to hold information in memory while performing complex tasks. It
incorporates the ability to draw on past learning or experience to apply to the situation at hand or to
project into the future. A young child, for example can hold in mind and follow 1 2 step directions
while the middle school child can remember the expectations of multiple teachers.
Emotional Control: The ability to manage emotions in order to achieve goals, complete tasks, or
control and direct behavior. A young child with this skill is able to recover from a disappointment in a
short time. A teenager is able to manage the anxiety of a game or test and still perform.
Sustained Attention: The capacity to maintain attention to a situation or task in spite of distractibility,
fatigue, or boredom. Completing a 5 minute chore with occasional supervision is an example of
sustained attention in the younger child. The teenager is able to attend to homework, with short
breaks, for one to two hours.
Task Initiation: The ability to begin projects without undue procrastination, in an efficient or timely
fashion. A young child is able to start a chore or assignment right after instructions are given. A high
school student does not wait until the last minute to begin a project.
Planning/Prioritization: The ability to create a roadmap to reach a goal or to complete a task. It also
involves being able to make decisions about what’s important to focus on and what’s not important.
A young child, with coaching, can think of options to settle a peer conflict. A teenager can formulate a
plan to get a job.
Organization: The ability to create and maintain systems to keep track of information or materials. A
young child can, with a reminder, put toys in a designated place. An adolescent can organize and
locate sports equipment.
Time Management: The capacity to estimate how much time one has, how to allocate it, and how to
stay within time limits and deadlines. It also involves a sense that time is important. A young child can
complete a short job within a time limit set by an adult. A high school student can establish a
schedule to meet task deadlines.
Goal directed persistence: The capacity to have a goal, follow through to the completion of the goal,
and not be put off by or distracted by competing interests. A first grader can complete a job in order
to get to recess. A teenager can earn and save money over time to buy something of importance.
Flexibility: The ability to revise plans in the face of obstacles, setbacks, new information or mistakes.
It relates to an adaptability to changing conditions. A young child can adjust to a change in plans
without major distress. A high school student can accept an alternative such as a different job when
the first choice is not available.
Metacognition: The ability to stand back and take a birds eye view of oneself in a situation. It is an
ability to observe how you problem solve. It also includes self monitoring and self evaluative skills
(e.g., asking yourself, “How am I doing? or How did I do?”). A young child can change behavior is
response to feedback from an adult. A teenager can monitor and critique her performance and
improve it by observing others who are more skilled.
Stress Tolerance: the ability to thrive in stressful situations and to cope with uncertainty, change, and
performance demands.
27

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What are the different executive skills being assessed in the questionnaire?

What are some examples given of response inhibition in children and adolescents?

Executive Skills Questionnaire —

Peg Dawson & Richard Guare

Strongly disagree 1 Tend to agree 5

Item Your score

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

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

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

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

25. I take unexpected events in stride.

28. I routinely evaluate my performance and devise methods for

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

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

Items Executive Skill Items Executive Skill

1-3 Response Inhibition 4-6 Working Memory

Executive Skill Definitions

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