Teen Executive Skills Parent Assessment

Directions: Consider each statement and decide to what extent it describes your student. Being brutally honest about your teen’s weaknesses can be difficult, but candid answers to these questions are a critical step toward strengthening those skills. Remember, nobody can score high on every category, and everyone can work on improving somewhere. Answer the questions according to the scale below:

5 = Usually4 = Often3 = Sometimes2 = Rarely1 = Never

Student Name*
First Last
Parent or Contact Name*
First Last
Parent or Contact Email*
1. My student loses homework assignements or forgets to bring them.*
2. My student misplaces items like keys, phone, notebook, or athletic gear.*
3. My student decides to do a task later, but then forgets about it.*
4. My student forgets to do one part of a complex task.*
5. My student has trouble adapting when a situation suddenly changes.*
6. My student gets frustrated If his or her strategy for handling a task doesn’t work.*
7. My student struggles with big tasks that don’t have clearly outlined steps to complete.*
8. My student gets stuck seeing things a certain way.*
9. My student’s backpack and school assignments are a mess.*
10. My student doesn’t know where to find things in his or her desk, car, or school bag.*
11. My student puts things away and later can’t find them.*
12. My student’s room is a mess.*
13. My student has a hard time deciding what to do first.*
14. Big projects feel overwhelming to my student.*
15. My student has trouble planning out a project that has many steps.*
16. My student avoids tasks that require him or her to prioritize one thing over another.*
17. My student runs out of energy for work before his or her homework is finished.*
18. My student gets distracted when something catches his or her attention.*
19. My student starts but doesn’t finish something he or she has been asked to do.*
20. My student’s mind wanders while he or she is working on homework.*
21. My student has a hard time getting started on homework.*
22. I have to remind my student to start a task I’ve already asked him or her to do.*
23. My student puts things off till the last minute.*
24. My student keeps doing things he or she enjoys when he or she should get to work.*
25. My student runs late for class, practice, or appointments.*
26. My student expects to get homework done at night but has to finish in the morning.*
27. My student underestimates the time he or she will need to complete a task.*
28. My student takes longer than he or she should to get ready for the day.*
29. My student has a hard time sticking to a task that doesn’t offer a short-term gain.*
30. My student doesn’t see why good grades are important to his or her life.*
31. My student has trouble staying focused on working toward long-term goals.*
32. My student is not working toward anything that’s more than a few months away.*
33. My student tends to act first and consider his or her actions later.*
34. My student speaks with out thinking.*
35. My student does something during class that upsets his or her instructor.*
36. My student’s initial reactions are what guide his or her behavior.*
37. My student’s temper flares when something he or she doesn’t like happens.*
38. My student is easily frustrated.*
39. My student yells or speaks rudely to people who upset him or her.*
40. My student gets annoyed by tough assignments and ends up mad about having to do them.*
41. My student’s study habits don’t seem to work and he or she doesn’t know why.*
42. If my student tries something and it doesn’t work, he or she doesn’t worry about why.*
43. My student does homework and figures it’s good enough without going back to check it.*
44. My student doesn’t actively think about better ways to do things.*
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