Executive Skills Questionaire
This is the Executive Skills Questionaire for Central Texas College.
Purpose: You are invited to participate in a survey on executive functioning skills. The goal is to understand how these skills impact daily activities and decision-making, which can help students be more successful in college.
Procedures: You will answer a series of questions related to your executive functioning skills. This should take about 10-15 minutes.
Confidentiality: Your responses will be kept confidential.
Voluntary Participation: Your participation is completely voluntary. You may withdraw anytime without affecting your relation with Central Texas College.
Risks: There are no known risks associated with participating in this survey.
Publication/Sharing of Information: The information gathered from this survey may be shared or published in academic journals, conferences, or other related venues. However, no identifying information about participants will be included.
If you have any questions about this study, please get in touch with the Executive Functioning Team:
Bethany Winkler BWinkler@ctcd.edu Veronica Martin VMartin@ctcd.edu Nadiya Filimonova NFilimonova@ctcd.edu Kenneth Bass KBass@ctcd.edu
By continuing with this survey, you consent to participate.
Thank you for your time and contribution.
Do you consent to taking this Questionaire?
What is your CTC ID number?
Basic Demographics Education and Employment
Education Status: Course Load: Employment Status: Dual Credit Student:
Socioeconomic Information
Relationship Status: Children at Home: Household Size: Household Income:
Life Experience Factors
Primary Caregiver: Work/Life Balance: Exposure to Stressful Life Event:
Item 1: I don't jump to conclusions.
Item 2: I think before I speak.
Item 3: I don't take action without having all the facts.
Item 4: I have a good memory for facts, dates, and details.
Item 5: I am very good at remembering the things I have committed to do.
Item 6: I seldom need reminders to complete tasks.
Item 7: My emotions seldom get in the way when performing on the job.
Item 8: Little things do not affect me emotionally or distract me from the task at hand.
Item 9: I can defer my personal feelings until after a task has been completed.
Item 10: No matter what the task, I believe in getting started as soon as possible.
Item 11: Procrastination is usually not a problem for me.
Item 12: I seldom leave tasks to the last minute.
Item 13: I find it easy to stay focused on my work.
Item 14: Once I start an assignment, I work diligently until it's completed.
Item 15: Even when interrupted, I find it easy to get back and complete the job at hand.
Item 16: When I plan out my day, I identify priorities and stick to them.
Item 17: When I have a lot to do, I can easily focus on the most important things.
Item 18: I typically break big tasks down into subtasks and timelines.
Item 19: I am an organized person.
Item 20: It is natural for me to keep my work area neat and organized.
Item 21: I am good at maintaining systems for organizing my work.
Item 22: At the end of the day, I've usually finished what I set out to do.
Item 23: I am good at estimating how long it takes to do something.
Item 24: I am usually on time for appointments and activities.
Item 25: I take unexpected events in stride.
Item 26: I easily adjust to changes in plans and priorities.
Item 27: I consider myself to be flexible and adaptive to change.
Item 28: I routinely evaluate my performance and devise methods for personal improvement.
Item 29: I am able to step back from a situation in order to make objective decisions.
Item 30: I "read" situations well and can adjust my behavior based on the reactions of others.
Item 31: I think of myself as being driven to meet my goals.
Item 32: I easily give up immediate pleasures to work on long-term goals.
Item 33: I believe in setting and achieving high levels of performance.
Item 34: I enjoy working in a highly demanding, fast-paced environment.
Item 35: A certain amount of pressure helps me to perform at my best.
Item 36: Jobs that include a fair degree of unpredictability appeal to me.
CTC ID: Age: Sex: Race: Language: Education: Course Load: Employment: Dual Credit: Relationship: Children: Household: Income: Caregiver: Work/Life: Life Event:
Total Avg Response Inhibition Working Memory Emotional Control Task Initiation Sustained Attention Planning/Prioritizing Organization Time Management Flexibility Metacognition Goal-Directed Persistence Stress Tolerance
Click the Submit button to get your results.
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