Executive Functioning Skills Evaluation for Undergraduate College Students

Dear College Student,

Welcome to your executive functioning skills self-assessment! This tool is designed to help you identify and enhance essential skills crucial for your success during your undergraduate journey. Please respond candidly for the most beneficial insights.

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STUDENT INFORMATION:
Student's Name:
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Student's Age *
Contact Information (Phone):
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Contact Information (Email):
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Student's Year Level: *
School Name: *
PLANNING SKILLS
This section delves into your ability to organize tasks and prioritize them effectively. Questions explore your reliance on tools like planners or calendars, your approach to managing large tasks, and your tendencies regarding task completion timelines.
Decision-Making in Deadlines:
When facing multiple deadlines, how do you decide what to work on first? 
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Distraction from Cell Phone Use:
How often do you find being distracted, particularly from cell phone use, over study or work?
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Skipping Important Tasks:
Have you ever skipped an important academic task in favor of something less important? If Yes, please describe the situation and the impact it had on your academic responsibilities.
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Priority Setting:
How do you determine the priority of tasks when managing your daily or weekly academic responsibilities?
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Utilizing Peak Productivity Times:
Do you identify and leverage your peak productivity times when scheduling tasks with varying levels of importance?
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ORGANIZATION SKILLS
Examines the orderliness of your personal spaces and your ability to keep track of essential items.
Study Environment:
Where do you usually study? 
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Required
Organization of Study Space:
On a scale from 1 to 5, rate the organization of your study space.
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Frequency of Misplacing Items:
How often do you misplace important items like notes or assignments?
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Organizational Strategies:
Describe your system for organizing academic materials. (Check all that apply)
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Required
Study Schedule:
How do you plan and schedule your study sessions?
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Required
Time Management:
How well do you manage your study time during a typical week?
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Distractions:
What are the main distractions you encounter while studying, and how do you manage them?
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Goal Setting:
Do you set specific academic goals for each study session or week? If yes, how do you track your progress?
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Adaptability:
How do you adjust your organizational strategies during busier periods, such as exam weeks or project deadlines?
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PRIORITIZATION SKILLS
Looks into how you determine which tasks to tackle first and how you manage competing priorities.
Decision-Making in Deadlines:
How do you decide what to work on when facing multiple deadlines first?
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Distraction from Cell Phone Use:
How often do you choose distractions, particularly from cell phone use, over study or work?
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Skipping Important Tasks:
Have you ever skipped an important academic task in favor of something less important? If Yes, please describe the situation and the impact it had on your academic responsibilities.
 *
Priority Setting:
How do you determine the priority of tasks when managing your daily or weekly academic responsibilities?
 *
Deadline-driven Tasks:
How do you handle tasks that are not immediately due but require long-term planning, such as research projects or term papers?
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Time Blocking:
Do you use time-blocking techniques to allocate specific time slots for different tasks during your study sessions?
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Interruptions and Adjustments:
How do you handle unexpected interruptions or changes in your schedule while maintaining focus on your academic priorities?
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Utilizing Peak Productivity Times:
Do you identify and leverage your peak productivity times when scheduling tasks with varying levels of importance?
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FOCUS, ATTENTION, CONCENTRATION SKILLS
Evaluates your ability to maintain concentration on tasks and handle distractions.
Rate your ability to stay focused without distractions.
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Describe a situation where staying concentrated was challenging.
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What methods do you use to enhance your focus?
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Required
INHIBITORY SKILLS
Assesses your capacity to control impulses and stay focused amid distractions.
Is resisting distractions a challenge for you?
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How often do you act impulsively in a way that affects your studies?
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Describe a time when you controlled an impulsive decision.
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TASK INITIATION SKILLS
Examines how promptly you begin tasks and the factors that drive you to start them.
Rate how quickly you start a planned task.
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Do you struggle with beginning uninteresting tasks?
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What motivates you to start a challenging task?
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TASK PERSISTENCE SKILLS
Looks at your consistency in completing tasks and any challenges you face in finishing them.
Do you often leave tasks unfinished?
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What are common reasons you stop working on a task?
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Required
How do you motivate yourself to continue with tough tasks?
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TRANSITION SKILLS
Evaluates your adaptability to changes in routines and how you manage transitions between activities.
How do you manage sudden changes in your schedule?
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Are you usually prepared when switching between different activities?
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Rate your efficiency in transitioning from one task to another.
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WORKING MEMORY SKILLS
Assesses your ability to retain and manage information while working on tasks.
How often do you forget instructions or steps in a task?
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What strategies do you use to remember important details?
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Required
Have you developed any techniques to improve your memory?  If Yes, please describe.
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LIFESTYLE AND WELL-BEING
Explores your overall state of health and happiness, encompassing physical, mental, and emotional aspects.
Sleep Habits:
How many hours of sleep do you typically get on a weeknight?
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What is your sleep schedule on the weekends? Please describe.
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Do you follow a consistent sleep schedule, going to bed and waking up at roughly the same time each day during the week?
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How would you rate the overall quality of your sleep?
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Exercise and Physical Activity:
How many days per week do you engage in moderate to vigorous physical activity (e.g., exercise, sports, etc.)?
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Describe your typical exercise routine or physical activity.
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Are you satisfied with your current level of physical activity, or do you feel the need to make adjustments?
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Healthy Living:
On a scale of 1 to 5, how would you rate your overall sense of well-being?
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Describe your approach to managing stress in your daily life.
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SOCIAL CONNECTIONS
Evaluates the quality and depth of your relationships, gauging your ability to connect and engage with others in various social contexts.
How would you describe your current social life and connections?
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How do you typically connect with friends or family members?
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Required
Have you found any effective ways to overcome resistance or procrastination? Please describe.
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On a scale from 1 to 5, how satisfied are you with your current social connections?
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Thank you for completing the Executive Functioning Skills Assessment Questionnaire with Themba Tutors. Your insightful responses are crucial in helping us understand your unique strengths and areas for improvement. Our dedicated team at Themba Tutors will meticulously review your feedback to provide you with personalized strategies and resources. Your commitment to personal growth and self-awareness is commendable, and we're genuinely excited to accompany you on this transformative journey. Rest assured, we are here to support you every step of the way. Your time and effort are greatly valued, and we look forward to empowering you to achieve your goals!

Warm regards,
The Themba Tutors Team

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