Executive Function Checklist
Thinking Skills Needed for Successful Independence


Please print this page and mark the items which are causing you concern or are learning problems. If you check more than 5 items, please contact a local educational professional, School Psychologist, Clinical Psychologist, or Educational Therapist for help.

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___Cannot stay focused
___Cannot stay focused on dull activity like reading
___Does not learn from consequences
___Has trouble generalizing and applying information
___Is a literal thinker
___Does not plan ahead
___Cannot follow plan
___Poor judge of time concepts
___Has 'in the brain - out the mouth' problems
___Does not inhibit reactions
___Cannot control temper
___Rigid in thinking
___Cannot 'shift gears' when circumstances change
___Tends to blame others for problems
___Uses strategies that have a history of not working
___Holds a grudge
___Overly trusts everyone
___Has suffered from a blow to the head or brain trauma
___Moody
___Distrusts everyone
___Does not do well on tests where application of knowledge is needed
___Only does well on factual tests where questions match the study guide
___Does poorly on tests where questions are re-worded or out of order
___Has trouble maintaining relationships for extended periods of time
___s on stimulant medication
___Consumes caffeine (coffee, tea, sodas, chocolate, etc)
___Smokes or uses tobacco products
___Likes or always seems to have conflict in relationships
___Is easily frustrated or angered

Please note that many of these symptoms are also symptoms of many different medical conditions.  Please make sure that you have discussed any symptoms with your local health care provider.

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