Executive Function Questionnaire for Homeroom

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!

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.

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!

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!

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!

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!

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!

I'm constantly frustrated about something.

• That's not like me AT ALL!

• I'm not really like that.

• Yep, that's me.

• YES! That's TOTALLY me!

I get upset when things don't go the way I've planned or the way I thought they were going to go.

• That's not like me AT ALL!

• I'm not really like that.

• Yep, that's me.

• YES! That's TOTALLY me!

I usually just come up with one way to solve a problem, and if that doesn't work, I don't know what to try next.

• That's not like me AT ALL!

• I'm not really like that.

• Yep, that's me.

• YES! That's TOTALLY me!