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Executive Functions Questionnaire 

Read each item below and then rate that item based on the extent to which you agree or disagree with how well it describes you. Use the rating scale below to choose the appropriate score. Your clinician will review the results with you.

Progress

1. I don’t jump to conclusions
2. I think before I speak.
3. I don’t take action without having all the facts.
4. I have a good memory for facts, dates, and details.
5. I am very good at remembering the things I have committed to do.
6. I seldom need reminders to complete tasks
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