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Behavior Inventory of Executive Function – Adolescent/Adult
Assessment 1 of 78
Form Instructions & Things to Know
How to fill this form:
Read each question carefully before selecting an answer.
Select the most accurate option based on your observations.
Do not skip questions; every response helps in the assessment.
Things to know:
10-15 Mins
Estimated completion time.
Secure
Your data is fully encrypted.
Note:
This is a screening and assessment tool, not clinical (medical).
First, please provide your contact information.
Your Full Name
Email Address
Phone Number
Information about the individual being assessed.
Who are you filing for?
Choose relationship...
Self
Child
Partner
Family Member
Friend
Caretaker
Guardian
Teacher/Tutor
Name of Individual Being Assessed
Date of Birth
Age
Gender
*
Select Gender
Male
Female
School Grade (Optional)
Assessment Reasons / Reason for Assessment
1. I tap my fingers our bounce my legs
Never
Sometimes
Often
2. I have trouble sitting still
Never
Sometimes
Often
3. I talk at the wrong time
Never
Sometimes
Often
4. I have problems waiting my turn
Never
Sometimes
Often
5. I have trouble thinking of a different way to solve a problem when stuck
Never
Sometimes
Often
6. I make inappropriate sexual comments
Never
Sometimes
Often
7. I make decisions that get me into trouble (legally, financially, socially)
Never
Sometimes
Often
8. I say things without thinking
Never
Sometimes
Often
9. I rush through things
Never
Sometimes
Often
10. People say I don’t think before acting
Never
Sometimes
Often
11. I am impulsive
Never
Sometimes
Often
12. I have trouble changing from one activity or task to another
Never
Sometimes
Often
13. I have trouble accepting different ways to solve problems with work, friends or tasks.
Never
Sometimes
Often
14. I am bothered by having to deal with changes
Never
Sometimes
Often
15. I get disturbed by unexpected changes in my daily routine
Never
Sometimes
Often
16. After having a problem, I don’t get over it easily
Never
Sometimes
Often
17. I have angry outbursts
Never
Sometimes
Often
18. I overreact emotionally
Never
Sometimes
Often
19. I have emotional outbursts for little reason
Never
Sometimes
Often
20. I react more emotionally to situations than my friends
Never
Sometimes
Often
21. I overreact to small problems
Never
Sometimes
Often
22. I get emotionally upset easily
Never
Sometimes
Often
23. My anger is intense but ends quickly
Never
Sometimes
Often
24. People say that I am too emotional
Never
Sometimes
Often
25. I get annoyed
Never
Sometimes
Often
26. My mood changes frequently
Never
Sometimes
Often
27. I don’t notice when I cause others to feel bad or get mad until it is too late
Never
Sometimes
Often
28. When people seem upset with me, I don’t understand why
Never
Sometimes
Often
29. I don’t think about the consequences before doing something
Never
Sometimes
Often
30. I need to be reminded to begin a task even when I am willing
Never
Sometimes
Often
31. I lie around the house a lot
Never
Sometimes
Often
32. I have problems getting started on my own
Never
Sometimes
Often
33. I have difficulty getting excited about things
Never
Sometimes
Often
34. I have trouble getting started on tasks
Never
Sometimes
Often
35. I start things at the last minute (such as assignments, chores, tasks)
Never
Sometimes
Often
36. I have trouble coming up with ideas for what to do with my free time
Never
Sometimes
Often
37. I have trouble concentrating on tasks (such as chores, reading, or work)
Never
Sometimes
Often
38. I have trouble with jobs or tasks that have more than one step
Never
Sometimes
Often
39. I forget what I am doing in the middle of things
Never
Sometimes
Often
40. I have trouble staying on the same topic when talking
Never
Sometimes
Often
41. I have a short attention span
Never
Sometimes
Often
42. I forget instructions easily
Never
Sometimes
Often
43. People say that I am easily distracted
Never
Sometimes
Often
44. I have trouble remembering things, even for a few minutes (such asdirections, phone numbers)
Never
Sometimes
Often
45. I have trouble doing more than one thing at a time
Never
Sometimes
Often
46. I get overwhelmed by large tasks
Never
Sometimes
Often
47. I have trouble getting ready for the day
Never
Sometimes
Often
48. I have trouble prioritizing activities
Never
Sometimes
Often
49. I start tasks (such as cooking, projects) without the right materials
Never
Sometimes
Often
50. I misjudge how difficult or easy tasks will be
Never
Sometimes
Often
51. I don’t plan ahead for future activities
Never
Sometimes
Often
52. I have unrealistic goals
Never
Sometimes
Often
53. I have good ideas but cannot get them on paper
Never
Sometimes
Often
54. I don’t plan ahead for tasks
Never
Sometimes
Often
55. I have problems organizing activities
Never
Sometimes
Often
56. I make careless errors when completing tasks
Never
Sometimes
Often
57. I don’t check my work for mistakes
Never
Sometimes
Often
58. I make careless mistakes
Never
Sometimes
Often
59. I make mistakes
Never
Sometimes
Often
60. I have trouble finishing tasks (such as chores, work)
Never
Sometimes
Often
61. I have difficulty finishing a task on my own
Never
Sometimes
Often
62. I have trouble organizing work
Never
Sometimes
Often
63. I get upset quickly or easily over little things
Never
Sometimes
Often
64. I have problems completing my work
Never
Sometimes
Often
65. I am disorganized
Never
Sometimes
Often
66. I have a messy closet
Never
Sometimes
Often
67. People say that I am disorganized
Never
Sometimes
Often
68. I lose things (such as keys, money, wallet, homework, etc.)
Never
Sometimes
Often
69. I leave the bathroom a mess
Never
Sometimes
Often
70. I leave my room or home a mess
Never
Sometimes
Often
71. I have trouble finding things in my room, closet, or desk
Never
Sometimes
Often
72. I don’t pick up after myself
Never
Sometimes
Often
73. I forget my name
Never
Sometimes
Often
74. I get tired
Never
Sometimes
Often
75. I have trouble counting to three
Never
Sometimes
Often
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