Student Survey

Student Self-Assessment

This is about you. There are no right or wrong answers — just rate how things feel honestly. The more accurate you are, the more useful this is.

Student

About You

IEP / 504 Context

Executive Functioning Scales

Rate from 1 (significant challenge) to 5 (consistent strength). These ratings set a baseline — not a grade.

Task initiation3

When you sit down to work, how easy is it to actually get started?

1 — Significant challenge5 — Consistent strength
Planning3

How well do you plan out the steps before starting a big task?

1 — Significant challenge5 — Consistent strength
Organization3

How organized are your materials, locker, backpack, and files?

1 — Significant challenge5 — Consistent strength
Time management3

How well do you judge time and meet deadlines?

1 — Significant challenge5 — Consistent strength
Working memory3

How well do you hold multi-step directions in your head while working?

1 — Significant challenge5 — Consistent strength
Self-monitoring3

How well do you catch your own mistakes before turning work in?

1 — Significant challenge5 — Consistent strength
Emotional regulation3

When things get frustrating or stressful, how well do you keep your cool?

1 — Significant challenge5 — Consistent strength
Flexibility / shifting3

How well do you adjust when plans or instructions change last minute?

1 — Significant challenge5 — Consistent strength
Goal-directed persistence3

When a goal takes weeks or months, how well do you keep going through the hard parts?

1 — Significant challenge5 — Consistent strength
Self-advocacy3

How comfortable are you asking a teacher for help, clarification, or an accommodation?

1 — Significant challenge5 — Consistent strength

Context & Goals

Anything Else