Don't Miss Out On This Executive Functioning Skills Checklist To Add To Your Toolbox (from a working speech therapist)

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Executive Functioning Skills Checklist For Adults

This is a very non-formal screener I designed to help you keep track of executive functioning skills for your adult speech therapy sessions.

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Executive Functioning Skills Checklist.pdf

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Rate each statement (0–3):0 = Never 1 = Sometimes 2 = Often 3 = Almost Always

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01

RESPONSE INHIBITION

1. I interrupt people or blurt things out.

2. I start tasks before hearing all the instructions.

3. I have trouble stopping myself from doing something I shouldn’t.

4. I overeat, overspend, or act impulsively.

5. I say things I regret later.

Total Score: ______

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02

WORKING MEMORY

6. I forget what I was saying mid-sentence.

7. I can’t remember multiple-step directions.

8. I lose track of what I’m doing easily.

9. I need things repeated often.

10. I forget appointments or plans unless I write them down.

Total Score: ______

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03

EMOTIONAL CONTROL

11. I get upset easily when things don’t go my way.

12. It takes me a long time to calm down.

13. I feel overwhelmed by small problems.

14. I get frustrated when I make mistakes.

15. I avoid things if I think I won’t do them perfectly.

Total Score: ______

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04

FLEXIBILITY

16. I struggle when plans change unexpectedly.

17. I like things done one specific way.

18. I have difficulty seeing other perspectives.

19. I get stuck on one idea or solution.

20. I don’t like trying new ways of doing things.

Total Score: ______

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05

SUSTAINED ATTENTION

21. My mind wanders when I’m reading or listening.

22. I lose focus during conversations.

23. I miss details when proofreading or completing tasks.

24. I get distracted easily by noise or my phone.

25. I have trouble finishing tasks without breaks.

Total Score: ______

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06

TASK INITIATION

26. I procrastinate starting tasks.

27. I feel stuck even when I know what to do.

28. It takes me a long time to get going in the morning.

29. I avoid tasks that feel overwhelming.

30. I wait until the last minute to start things.

Total Score: ______

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07

PLANNING & ORGANIZATION

31. I have trouble breaking tasks into steps.

32. I don’t plan ahead for appointments or events.

33. I underestimate how long things will take.

34. I feel overwhelmed when organizing tasks.

35. I forget important steps when completing something.

Total Score: ______

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08

Interpret Scores

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Executive Functioning Skills Checklist.pdf

Download PDF • 433KB

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