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Executive Functioning Questionnaire for Kids

The document is an Executive Functioning Questionnaire designed for parents and teachers to assess children's executive functioning skills. It consists of 24 statements that require respondents to rate the child's behavior on a scale from 1 to 5. The questionnaire aims to identify areas where a child may struggle with tasks such as remembering instructions, staying focused, and completing multi-step activities.

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14 views2 pages

Executive Functioning Questionnaire for Kids

The document is an Executive Functioning Questionnaire designed for parents and teachers to assess children's executive functioning skills. It consists of 24 statements that require respondents to rate the child's behavior on a scale from 1 to 5. The questionnaire aims to identify areas where a child may struggle with tasks such as remembering instructions, staying focused, and completing multi-step activities.

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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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EXECUTIVE FUNCTIONING QUESTIONNAIRE FOR CHILDREN (CHEXI)

FOR PARENTS AND TEACHERS

Below, you will find a series of statements. Please read each of them.
carefully and indicate to what extent it describes your son/daughter. Please circle one of the
numbers (from 1 to 5) that appear after each statement.

Definitely It's not true More or less True Definitely


it is not true certain certain
1 2 3 4 5

1. He/She finds it hard to remember long instructions. 1 2 3 4 5


2. Rarely is he/she able to motivate himself/herself to do things he/she does not want to. 1 2 3 4 5
to do
3. He has a hard time remembering what he is doing when he is in the middle. 1 2 3 4 5
of an activity
4. It is hard for him to finish the homework he doesn't like unless he 1 2 3 4 5
they promise some prize
5. He tends to do things without thinking about them first. 1 2 3 4 5
consequences
6. When asked to do several things, he only remembers the first one. 1 2 3 4 5
or the last one
7. He finds it hard to find a different way to solve a problem. 1 2 3 4 5
when you don't know the solution
8. When he has to do something, he often gets distracted by something else. 1 2 3 4 5
what attracts you more
9. Easily forgets the things that they are asked to bring. 1 2 3 4 5
10. They get overly excited when something special is going to 1 2 3 4 5
to happen (e.g. an excursion, a party)
11. He finds it difficult to do things that he finds boring. 1 2 3 4 5
12. He/she has difficulty planning for an activity (e.g. remembering things) 1 2 3 4 5
what you need to go on a field trip or for school activities
13. It is hard for him to stop when asked to stop doing something. 1 2 3 4 5
14. It is difficult for him/her to complete activities that require multiple steps. 1 2 3 4 5
for example, in the case of small children, getting fully dressed without
need to remind him/her; in the case of older children, to do
all the duties regardless)
15. To be able to concentrate, the duty has to seem attractive to him/her. 1 2 3 4 5
16. He has difficulty avoiding laughter in situations where he is 1 2 3 4 5
inappropriate
17. He has difficulty telling something that has happened in a way that others 1 2 3 4 5
they can easily understand
18. It is difficult for him to stop what he is doing immediately when he is 1 2 3 4 5
asks (e.g. Needs to keep playing a little longer when told)
what stop
19. He has difficulty understanding the instructions unless, moreover, he is 1 2 3 4 5
show how to do it
20. Has difficulties with homework or activities that require several 1 2 3 4 5
steps
21. He finds it hard to think about the future or learn from his experiences. 1 2 3 4 5
22. When she is with other boys and girls, she acts more wildly. 1 2 3 4 5
that others (e.g. at a birthday party or an activity of
group)
23. He finds it difficult to do things that require mental effort (such as e.g. 1 2 3 4 5
count down)
24. He/She finds it difficult to keep things in mind while doing something else. 1 2 3 4 5
thing

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