Child's Name ________________________________ Date __________

Difficulty handling transitions, shifting from one mindset or task to another (shifting cognitive set)

Difficulty doing things in a logical sequence or prescribed order

Difficulty persisting on challenging or tedious tasks

Poor sense of time

Difficulty maintaining focus for goal-directed problem-solving

Difficulty considering the likely outcomes or consequences of actions (impulsive)

Difficulty considering a range of solutions to a problem

Difficulty expressing concerns, needs, or thoughts in words

Difficulty understanding what is being said

Difficulty managing emotional response to frustration so as to think rationally (separation of affect)

Chronic irritability and/or anxiety significantly impede capacity for problem-solving

Difficulty seeing the "grays"/concrete, literal, black-and-white, thinking

Difficulty deviating from rules, routine, original plan

Difficulty handling unpredictability, ambiguity, uncertainty, novelty

Difficulty shifting from original idea or solution/difficulty adapting to changes in plan or new rules

Difficulty taking into account situational factors that would suggest the need to adjust a plan of action

Inflexible, inaccurate interpretations/cognitive distortions or biases (e.g., "Everyone's out to get me," "Nobody likes me," "You always blame me, "It's not fair," "I'm stupid")

Difficulty attending to or accurately interpreting social cues/poor perception of social nuances

Difficulty starting conversations, entering groups, connecting with people/lacks other basic social skills

Difficulty seeking attention in appropriate ways

Difficulty appreciating how his/her behavior is affecting other people

Difficulty empathizing with others, appreciating another person's perspective or point-of-view

Difficulty appreciating how s/he is coming across or being perceived by others

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