Form: Executive Skills Questionnaire, ESQ-R

1 – Never or rarely
2 – Sometimes
3 – Often
4 – Very often
¹
1
2
3
4
1
I act on impulse.
2
I say things without thinking.
3
I lose things.
4
I have a short fuse.
5
I get upset when things don't go as planned.
6
I run out of steam before finishing a task.
7
It's hard for me to set priorities when I have a lot of things to do.
8
My desk or workspace is a mess.
9
I have trouble keeping my house or room clean.
10
I have trouble estimating how long it will take to complete a task.
11
I'm slow at getting ready for school, work, or appointments.
12
If the first solution to a problem doesn't work, I have trouble thinking of a different one.
13
I skip checking my work for mistakes, even when the stakes are high.
14
I get annoyed when tasks are too hard.
15
It's hard for me to put aside fun activities to start things I know I need to do.
16
I have trouble with tasks where I have to come up with my own ideas.
17
It's hard for me to tell how well I'm doing on a task.
18
I have trouble reaching long-term goals.
19
I “go with my gut” when making decisions.
20
I get so wrapped up in what I'm doing that I forget about other things I need to do.
21
Little things frustrate me.
22
I have trouble getting back on track if I'm interrupted.
23
I have trouble making a plan.
24
I miss the big picture.
25
I live for the moment.

The presented answer sheet is not an original form and is not intended for printing or use as a handout.

The answer numbers are used only to label response columns. They are NOT scores and should not be used for calculating results.