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    Executive Functioning Screener

    Uploaded by

    Ana Paula Azevedo Marques

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Executive Functioning Screener

    Uploaded by

    Ana Paula Azevedo Marques
    759 views7 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    759 views7 pages

    Executive Functioning Screener

    Uploaded by

    Ana Paula Azevedo Marques

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 7
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    The document discusses an executive functioning screener created by Dr. Erica Warren to help identify individuals who may have executive functioning issues and benefit from further testing or coaching. It also provides background information and references on executive functioning.

    The executive functioning screener is a 20 question assessment designed to uncover the likelihood that an individual has enough executive functioning symptoms to warrant formal testing and/or executive functioning coaching.

    According to the screener, common executive functioning issues can include difficulties with transitioning between tasks, following multi-step directions, organization, time management, planning, focus/distraction, and emotional regulation.

    Copyright © by Erica Warren, 2019. All rights reserved.

    Published in the United States of


    America. No part of this publication may be reproduced, stored in a retrieval system, or
    transmitted, in any form or by any means: electronic, mechanical photocopying, recording
    or otherwise, by anyone other than the original purchaser for his or her own personal use
    without the prior written permission of the publisher.

    Erica Warren Publications


    43 Lakefront Road
    Putnam Valley, NY 10579
    914-923-7270
    erica@learningtolearn.biz

    All Of Dr. Erica Warren’s Sites:


    YouTube Channel:​ ​https://www.youtube.com/user/warrenerica1
    Learning Specialist Courses:​ ​http://www.learningspecialistcourses.com/
    Monthly Newsletter: ​https://app.convertkit.com/landing_pages/69400
    Private Practice:​ ​http://learningtolearn.biz
    Online Store:​ ​http://www.goodsensorylearning.com/
    Blog:​ ​http://learningspecialistmaterials.blogspot.com/
    Dyslexia Resources:​ ​http://www.dyslexiamaterials.com
    Dyslexia Video Podcast, Video Blogs, & Resources:​ ​https://www.godyslexia.com

    Dr. Warren’s Executive Functioning Screener:


    This 20 question screener is designed to uncover the likelihood that you or a dependent has
    enough executive functioning (EF) symptoms to warrant formal testing and/or EF coaching.
    Please note that emotional distress (e.g., difficulties with teachers, classmates or family members,
    chronic illnesses, divorce, and other major life stressors/transitions) can cause behaviors or
    symptoms that mimic or magnify EF weaknesses. Therefore, keep this in mind when interpreting
    the results.

    A special thanks to my wonderful friends and editors Nancy Platt Dawud and Lynda Allen.

    © 2019 Dr. Erica Warren ​www.dyslexiamaterials.com​ & ​www.GoodSensoryLearning.com 2


    Directions​: Circle the number that best indicates the extent you agree or disagree with each statement
    by circling the appropriate response.

    1. There is a history of executive functioning issues or trouble with planning, time management, and
    organization in the family. (inquire with parents)

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    2. Transitioning from one task to another is difficult.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    3. Listening to and following multi-step directions is tricky.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    4. Remembering and being on time for scheduled appointments is problematic.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    5. Keeping materials organized and putting them back where they belong is tough.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    6. Maintaining a planner or calendar is challenging.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    7. Planning long term projects is difficult and they are often completed at the last minute.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    © 2019 Dr. Erica Warren ​www.dyslexiamaterials.com​ & ​www.GoodSensoryLearning.com 3


    8. Leaving behind needed materials is common.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    9. Estimating how long a task or project will take is challenging.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    10. Getting started on projects, chores, or assignments is an issue.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    11. Getting distracted and losing focus is a common obstacle.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    12. Keeping track of possessions is problematic.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    13. Shifting attention from one task to another is often a dilemma.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    14. Maintaining alertness or focus when sitting still is challenging.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    © 2019 Dr. Erica Warren ​www.dyslexiamaterials.com​ & ​www.GoodSensoryLearning.com 4


    15. Regulating emotions and managing frustration is a concern.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    16. Mentally holding information and doing calculations in one’s head is tricky (e.g., solving problems
    like 7x29 in your mind).

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    17. Controlling impulsive responses and rushing through work is frequent.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    18. Losing stamina on tasks is common.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    19. Forgetting to submit completed assignments is problematic.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    20. Maintaining a positive attitude is hard.

    Strongly Disagree Disagree Neutral Agree Strongly Agree

    1 2 3 4 5

    © 2019 Dr. Erica Warren ​www.dyslexiamaterials.com​ & ​www.GoodSensoryLearning.com 5


    Scoring: ​Add up each circled number to tally your score: ​__________

    Interpretation:

    ● 1-65 Insignificant signs of EF issues


    ● 66-75 Presents some EF issues which can likely be addressed with a structured
    routine, study skills lessons, and learning strategies
    ● 76-100 Significant signs of EF challenges - pursue psychoeducational testing to confirm
    and/or consider working with an EF coach

    You can also purchase your own remedial materials to improve EF: ​CLICK HERE

    Executive functioning (EF)​, or the conductor of the brain, is the process of the mind gathering
    together and making sense of all the information we receive from our senses. EF also allows us to
    focus our attention, think about and process new information, and make connections to what we
    already know. To learn more about EF, ​CLICK HERE

    Dr. Erica Warren, Learning Specialist & Educational Therapist: ​Helping learners maximize their
    learning potential for over 20 years, Dr. Warren tailored a special degree program that combined
    coursework and research in Educational Psychology, Special Education, School Psychology, and
    Adult Education. In 1999, Dr. Warren opened the doors of ​Learning to Learn​ in Ossining, NY. What
    started as a private practice to help individual students develop compensatory learning strategies
    and find joy in the learning process, blossomed into a place where students, parents, teachers and
    schools can receive educational support, materials, training and advice. In 2005, Dr. Warren unveiled
    Good Sensory Learning​ ​where student-inspired, fun, multisensory teaching materials and cognitive
    remedial tools are available to the public. She also offers courses @ ​Learning Specialist Courses​.

    Come review all of Dr. Warren’s Executive Functioning Products ​CLICK HERE

    Dr. Warren’s private practice: ​https://www.learningtolearn.biz/


    Dr. Warren’s Blog: ​http://learningspecialistmaterials.blogspot.com/
    Dr. Warren’s YouTube Channel: ​https://www.youtube.com/user/warrenerica1
    Dr. Warren’s Courses: ​http://www.learningspecialistcourses.com
    Newsletter signup: ​https://app.convertkit.com/landing_pages/69400

    © 2019 Dr. Erica Warren ​www.dyslexiamaterials.com​ & ​www.GoodSensoryLearning.com 6


    References
    Anderson, V. A., Anderson, P., Northam, E., Jacobs, R., & Catroppa, C. 2001) Development of
    executive functions through late childhood in an Australian sample. Developmental
    Neuropsychology, 20, 385-406.
    Anderson, V.A., Jacobs, P., & Anderson, P. (Eds.). (2008). Executive functions and the frontal lobes: A
    lifespan perspective. New York: Taylor & Francis.
    Branstetter, Rebecca. The Everything Parent's Guide to Children with Executive Functioning Disorder:
    Strategies to Help Your Child Achieve the Time Management Skills, Focus, and Organization
    Needed to Succeed in School and Life. Adams Media, 2014.
    Cooper-Kahn , J. & Foster, M. (2013). Boosting executive skills in the classroom: A practical guide for
    educators. San Francisco: Jossey-Bass.
    Cooper-Kahn , J. & Foster, M. (2013). Late, lost, and unprepared. Bethesda, MD: Woodbine House.
    Dawson, P. & Guare, R. (2012). Coaching students with executive skills deficits. New York: The
    Guilford Press.
    Dawson, P. & Guare, R. (2011). Executive skills in children and adolescents: A practical guide to
    assessment and intervention. 2nd Edition. New York: The Guilford Press.
    Dawson, P. & Guare, R. (2009). Smart but scattered: The revolutionary ”executive skills" approach to
    helping kids reach their potential. New York: The Guilford Press.
    Dunlap, G., Kern-Dunlap, L., Clarke, S, & Robbins, F.R. (1991). Functional assessment, curricular
    revision, and severe behavior problems. Journal of Applied Behavioral Analysis, 24, 387-397.
    Feigel, T. (2007). The pocket coach for parents. Edina, MN: Beaver’s Pond Press.
    Glasser, H. & Easely, J.(1999). Transforming the difficult child. Tucson, AZ: Nurtured Heart Pubs.
    Guare, R., Dawson, P., & Guare, C. (2012). Smart but scattered teens. New York: The Guilford Press
    Hart, T. & Jacobs, H. E. (1993). Rehabilitation and management of behavioral disturbances following
    frontal lobe injury. Journal of Head Trauma Rehabilitation, 8. 1-12.
    Jacobson, L. A., Williford, A. P., & Pianta, R. C. (2011). The role of executive function in children’s
    competent adjustment to middle school. Child Neuropsychology, 17, 255-208.
    Kaufman, C. (2010). Executive functions in the classroom. Baltimore, MD: Paul H. Brookes
    Landry, S. H., Miller-Loncar, C. L., Smith, K. E., & Swank, P. R. (2002). The role of early parenting in
    children’s executive processes. Developmental Neuropsychology, 21, 15-41.
    Margolis, H., & McCabe, P.P. (2004). Resolving struggling readers’ homework difficulties: A social
    cognitive perspective. Reading Psychology, 25, 225-260
    McCloskey, G., Perkins, L. A., & Van Divner, B. (2009). Assessment and intervention for executive
    function difficulties. New York: Taylor & Francis Group
    Merriman, D.E. & Codding, R. S. (2008). The effects of coaching on mathematics homework
    completion and accuracy of high school students with ADHD. Journal of Behavioral Education, 17,
    339-355.
    Plumer, P.J. & Stoner, G. (2005). The relative effects of classwide peer tutoring and peer coaching on
    the positive social behaviors of children with ADHD. Journal of Attention Disorders, 9, 290-300.
    Risley, T. R., & Hart, B. (1968). Developing correspondence between the nonverbal and verbal
    behavior of preschool children. Journal of Applied Behavioral Analysis, 1, 267-281.
    Warren, E. (2018) Planning, Time Management & Organization for Success. New York. Good Sensory
    Learning Publications.

    © 2019 Dr. Erica Warren ​www.dyslexiamaterials.com​ & ​www.GoodSensoryLearning.com 7

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