
Executive Function Questionnaire for Homeroom
Authored by Laura Hartline
Education
9th - 12th Grade

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33 questions
Show all answers
1.
MULTIPLE CHOICE QUESTION
30 sec • Ungraded
I act on impulse. I do things without really thinking them through first.
That's not like me AT ALL!
I'm not really like that.
Yep, that's me.
YES! That's TOTALLY me!
2.
MULTIPLE CHOICE QUESTION
30 sec • Ungraded
I get in trouble for talking too much in class.
I don't think I've ever gotten in trouble for talking in class.
I'm not really like that.
Yeah, that does happen to me.
I'm getting in trouble all the time for talking in class.
3.
MULTIPLE CHOICE QUESTION
30 sec • Ungraded
I say things without thinking.
I never say things without thinking them through first.
I'm not really like that.
Yep, that's me.
All the time!
4.
MULTIPLE CHOICE QUESTION
30 sec • Ungraded
I tell myself, "I'll do that later," and then forget all about it.
That's not like me AT ALL!
I'm not really like that.
Yep, that's me.
YES! That's TOTALLY me!
5.
MULTIPLE CHOICE QUESTION
30 sec • Ungraded
I forget to do my homework assignments, or I realize when I go to do them that I don't have what I need.
That's not like me AT ALL!
I'm not really like that.
Yep, that's me.
YES! That's TOTALLY me!
6.
MULTIPLE CHOICE QUESTION
30 sec • Ungraded
I lose or misplace my things, like coats, gloves, sports equipment, etc.
That's not like me AT ALL!
I'm not really like that.
Yep, that's me.
YES! That's TOTALLY me!
7.
MULTIPLE CHOICE QUESTION
30 sec • Ungraded
I get annoyed when homework is too hard or too confusing or takes too long to finish.
That's not like me AT ALL!
I'm not really like that.
Yep, that's me.
YES! That's TOTALLY me!
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