Executive Dysfunction Assessment for Adults

If you think you may have executive dysfunction but are unsure, take this self-assessment. Write numbers 1-15 on your paper. The, write down O for Often or N for Not often or A for Agree or D for Disagree for each question.

Q.1

I have trouble getting started or initiating tasks.
  •  Often
  •  Not often

Q.2
I start tasks with enthusiasm but lose interest quickly.
  • Often
  • Not often

Q.3
I find it hard to do things that aren’t necessary or highly stimulating.
  • Agree
  • Disagree

Q.4
I am easily distracted by things I see or hear.
  • Agree
  • Disagree

Q.5
I become absorbed in things or tasks that interest me—sometimes to the point of forgetting about people around me or other obligations.
  • Agree
  • Disagree

Q.6
I have trouble following conversations because I am distracted or because I am trying to remember what I wanted to say.
  • Often
  • Not often

Q.7
I forget things, even when they are important to me.
  • Often
  • Not often

Q.8
At least once a day I lose or misplace items—for example, keys, wallet, purse, or cell phone.
  • Agree
  • Disagree

Q.9
I consistently forget appointments and, when I do remember, I often am late.
  • Agree
  • Disagree

Q.10
I can’t seem to get a handle on clutter. My personal space is messy and has piles of papers and miscellaneous items.
  • Agree
  • Disagree

Q.11
I have difficulty figuring out what is most important or what I should start with given a list of things to do.
  • Agree
  • Disagree

Q.12
I waste time trying to decide what to do first.
  • Often
  • Not often

Q.13
I become frustrated when things don’t go as planned and can quickly become angry. I often let go of my anger as quickly as it came.
  • Often
  • Not often

Q.14
I have trouble completing multiple-step tasks and moving from one task to another.
  • Agree
  • Disagree

Q.15
I say “I will do it later” and then forget all about it.
  • Often
  • Not often

What’s your score? If you answered Often, or Agree to many of these questions, you may have symptoms that resemble those of people diagnosed with executive function deficits. If you feel this is accurate and you can use some additional assistance, please check out my courses: Executive Function 101, Executive Function for Adults Semester Course, or my EF for Pre-teens/Teens course.

 

 

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