Executive Functioning Checklist Editable

About this resource

An executive-functioning concern usually starts as a feeling — "something about getting started, or staying organized, is harder than it should be" — long before anyone can describe it in a way a team can plan around. This file turns that feeling into eight plain-language skill-area inventories (working memory, planning and organization, task initiation, time management, self-monitoring, emotional and impulse control, flexibility and shifting, and organization of materials), each with six observable indicators rated on one simple frequency scale, so an adult can describe exactly what they are seeing instead of guessing at a cause. A condensed one-page quick card, a roll-up profile across all eight areas, a shorter card for a second adult or setting, a team or family update, a phrase bank, and a filled, invented example tie it together. Fillable PDF — type it or print it.

WHAT IS INCLUDED — 23 pages, 296 type-in fields

Observe Each Skill Area

• Binder Cover and Eight Divider Tabs — fill in once, slide into a binder cover sleeve, with an index for eight divider tabs and a map of where every section lives
• How to Use This Inventory and the Rating Scale — the same four-point frequency scale (Rarely, Sometimes, Often, Consistently) used on every page, the eight skill areas in one line each, and what this inventory is not
• Eight full-page inventories, one per skill area — Working Memory, Planning and Organization, Task Initiation, Time Management, Self-Monitoring, Emotional and Impulse Control, Flexibility and Shifting, and Organization of Materials — 48 observable indicators total (six per area), each rated across four frequency columns, plus a "where you might see this" card, a support-idea card, and a worked "what this might look like" example on every page

Summarize It, Share It, Plan From It

• The One-Page Quick Observation Card — two condensed indicators per skill area (16 total), for a fast pass across all eight
• EF Profile — a roll-up table, one row per skill area, with a pattern-observed column and a notes-for-support-planning column
• Quick Observation Card for a Second Adult or Setting — one indicator per skill area with a simpler two-level scale, for a general education teacher, paraprofessional, related service provider, or a parent or caregiver observing at home
• Team or Family Update — what's being noticed, what's being tried, and a place for questions, ready to send
• Turning an Indicator Into an Observation Note — a 24-phrase bank (four groups of six starters), every phrase a sentence you finish, never a conclusion
• Filled In, for One Invented Student — Mateo S. (invented), the same two-indicator-per-area ratings used on the quick card, with a support-planning note for every row and a count that is checked against the table it describes

What This Is, And What It Is Not

It is a fillable PDF. Open it in a PDF reader, click a box or line, and type; it works offline with no account or subscription and prints the same way it looks on screen. It is NOT a Google Sheets file, a Google Doc, or an Excel workbook.

No IDEA timelines, no eligibility criteria, no ages used as a cutoff, and no clinical wording anywhere. No health data is pre-filled; the example student is invented and says so on the page.

Who This Is For

Teachers, case managers, related service providers, and paraprofessionals who notice a pattern in how a student manages working memory, planning, starting tasks, pacing time, checking their own work, handling change, or keeping materials organized — plus parents and caregivers who want a plain way to describe the same pattern at home.