[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"assessment-esq-r":3,"all-assessments-nav":303,"related-assessments-query":950},{"id":4,"title":5,"body":6,"category":261,"categoryTitle":262,"clinicalCitations":263,"copyright":273,"description":274,"disclaimer":275,"downloadLink":261,"extension":276,"faqs":277,"featured":290,"i18nReady":290,"icon":261,"interpreter":261,"lastReviewed":291,"meta":292,"navigation":293,"path":294,"permissionsNote":295,"published":293,"recommendedFrequency":296,"relatedCodes":261,"relatedConditions":261,"reviewedBy":261,"seo":297,"slug":298,"stem":299,"summary":300,"takeaways":261,"timeline":261,"type":301,"usedToDiagnose":261,"__hash__":302},"assessments\u002Fassessments\u002Fesq-r.md","Executive Skills Questionnaire – Revised (ESQ-R)",{"type":7,"value":8,"toc":250},"minimark",[9,14,27,30,34,41,117,120,124,131,144,149,173,177,182,193,197,211,215,232,236],[10,11,13],"h3",{"id":12},"foundational-context","Foundational Context",[15,16,17,18,22,23,26],"p",{},"The ESQ-R is grounded in Dawson & Guare’s influential Executive Skills model, which identifies 12 core cognitive and behavioural skills that support goal-directed behaviour. The framework distinguishes between ",[19,20,21],"strong",{},"executive skill strengths",", which can be drawn on for success, and ",[19,24,25],{},"skill vulnerabilities",", which may impede follow-through, emotional regulation, or productivity.",[15,28,29],{},"Originally created for clinical and educational use, the ESQ-R offers a practical, everyday-language way to understand adult executive functioning. Unlike diagnostic measures focusing on ADHD or cognitive impairment, the ESQ-R emphasizes functional capacities across environments such as work, home, and relationships. Its strength-based approach makes it especially relevant for coaching, organizational development, therapy, and psychoeducation.",[10,31,33],{"id":32},"what-the-assessment-measures","What the Assessment Measures",[15,35,36,37,40],{},"The ESQ-R evaluates ",[19,38,39],{},"12 executive skill domains",", each represented by three items:",[42,43,44,51,57,63,69,75,81,87,93,99,105,111],"ol",{},[45,46,47,50],"li",{},[19,48,49],{},"Response Inhibition"," – resisting impulses and distractions",[45,52,53,56],{},[19,54,55],{},"Working Memory"," – holding and manipulating information mentally",[45,58,59,62],{},[19,60,61],{},"Emotional Control"," – managing emotional responses",[45,64,65,68],{},[19,66,67],{},"Sustained Attention"," – maintaining focus over time",[45,70,71,74],{},[19,72,73],{},"Task Initiation"," – beginning tasks without undue delay",[45,76,77,80],{},[19,78,79],{},"Planning \u002F Prioritization"," – setting goals and determining the best order of steps",[45,82,83,86],{},[19,84,85],{},"Organization"," – keeping materials, tasks, and physical spaces orderly",[45,88,89,92],{},[19,90,91],{},"Time Management"," – using time effectively and estimating task durations",[45,94,95,98],{},[19,96,97],{},"Goal-Directed Persistence"," – staying with tasks to completion",[45,100,101,104],{},[19,102,103],{},"Flexibility"," – adapting to change or shifting strategies",[45,106,107,110],{},[19,108,109],{},"Metacognition"," – self-monitoring and reflecting on performance",[45,112,113,116],{},[19,114,115],{},"Stress Tolerance"," – coping effectively with stress or pressure",[15,118,119],{},"These domains provide a granular profile of functional skills relevant to work performance, academic success, and daily routine management.",[10,121,123],{"id":122},"interpretation-guidelines","Interpretation Guidelines",[15,125,126,127,130],{},"Each domain score ranges from ",[19,128,129],{},"3–15",":",[132,133,134,139],"ul",{},[45,135,136],{},[19,137,138],{},"Higher scores → stronger executive functioning in that domain",[45,140,141],{},[19,142,143],{},"Lower scores → areas where support, accommodations, or strategies may be beneficial",[15,145,146],{},[19,147,148],{},"Interpretation Notes:",[132,150,151,157,164,167,170],{},[45,152,153,154],{},"There are ",[19,155,156],{},"no clinical cutoffs",[45,158,159,160,163],{},"Profiles should be interpreted by comparing ",[19,161,162],{},"relative strengths and weaknesses",", not absolute values",[45,165,166],{},"Executive functioning varies across environments, context matters (e.g., stress, sleep, workload)",[45,168,169],{},"The ESQ-R is not diagnostic and should not be used to identify ADHD or cognitive disorders",[45,171,172],{},"Skill vulnerabilities may reflect chronic stress, burnout, trauma, mental health symptoms, or unmet support needs",[10,174,176],{"id":175},"psychometric-properties","Psychometric Properties",[178,179,181],"h4",{"id":180},"reliability","Reliability",[132,183,184,187,190],{},[45,185,186],{},"Strong internal consistency across most domains",[45,188,189],{},"Demonstrated stability when used for adult coaching and intervention planning",[45,191,192],{},"Reliable for identifying relative strengths and weaknesses",[178,194,196],{"id":195},"validity","Validity",[132,198,199,202,205,208],{},[45,200,201],{},"Conceptually grounded in Dawson & Guare’s well-established framework",[45,203,204],{},"Shows good construct validity for everyday executive functioning",[45,206,207],{},"Commonly used in neuropsychological-informed coaching and education contexts",[45,209,210],{},"Not validated as a standalone clinical or diagnostic measure",[10,212,214],{"id":213},"administration-considerations","Administration Considerations",[132,216,217,220,223,226,229],{},[45,218,219],{},"Works well in coaching, occupational therapy, psychotherapy, ADHD support, and executive-function training",[45,221,222],{},"Easy to administer in both clinical and non-clinical settings",[45,224,225],{},"Best paired with structured interviews or goal-setting discussions",[45,227,228],{},"Scores can guide individualized strategy-building (e.g., planners, environmental supports, cognitive tools)",[45,230,231],{},"Insight may vary; discussing examples from daily life enhances accuracy",[10,233,235],{"id":234},"limitations","Limitations",[132,237,238,241,244,247],{},[45,239,240],{},"Not intended for diagnosis or cognitive impairment detection",[45,242,243],{},"Self-report may be influenced by mood, stress, or self-perception",[45,245,246],{},"Scores reflect perceived behavior, not objective executive functioning",[45,248,249],{},"Limited peer-reviewed psychometric research due to proprietary nature",{"title":251,"searchDepth":252,"depth":252,"links":253},"",2,[254,256,257,258,259,260],{"id":12,"depth":255,"text":13},3,{"id":32,"depth":255,"text":33},{"id":122,"depth":255,"text":123},{"id":175,"depth":255,"text":176},{"id":213,"depth":255,"text":214},{"id":234,"depth":255,"text":235},null,"Social & Emotional",[264,267,270],{"text":265,"link":266},"Strait JE, Dawson P, Walther CAP, Strait GG, Barton AK, Brunson McClain M. Refinement and psychometric evaluation of the Executive Skills Questionnaire-Revised. Contemp Sch Psychol. 2020;24:378-388.","https:\u002F\u002Fdoi.org\u002F10.1007\u002Fs40688-018-00224-x",{"text":268,"link":269},"Nasir H, Tan CS, Pheh KS. The Executive Skills Questionnaire-Revised: Adaptation and Psychometric Properties in the Working Context of Malaysia. Int J Environ Res Public Health. 2021;18(17):8978.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F34501571\u002F",{"text":271,"link":272},"Tan CS, Nasir H, Pheh KS, Cong CW, Tay KW, Cheong JQ. The Mediating Role of Work Engagement in the Relationship between Executive Functioning Deficits and Employee Well-Being. Int J Environ Res Public Health. 2022;19(20):13386.","https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F36293965\u002F","© Dawson & Guare \u002F Guilford Press \u002F Executive Skills Training. All rights reserved.","ESQ-R scoring guide: 36-item adult executive skills questionnaire (Dawson & Guare), 12 domains scored 3–15. PDF questionnaire via Guilford Press. Clinician interpretation and profiling guide.","This article is for educational purposes only and should not replace diagnosis, neuropsychological evaluation, or medical advice. The ESQ-R provides a self-reported profile of executive skills and should not be used alone to make clinical decisions.","md",[278,281,284,287],{"question":279,"answer":280},"Is the ESQ-R self-report or clinician-administered?","The ESQ-R is a self-report questionnaire. Respondents rate each of the 36 items themselves, making it straightforward to administer in clinical, coaching, occupational, or educational settings without requiring clinician observation. Clinicians often review and discuss the results with respondents to provide context and support accurate interpretation.",{"question":282,"answer":283},"What is the ESQ-R designed for?","The ESQ-R is designed to profile executive functioning in adults for use in coaching, occupational therapy, psychoeducation, and intervention planning. It is not a diagnostic instrument. Results are intended to guide conversations about strategies and supports, not to generate a single summary score or clinical threshold — interpretation centres on the pattern across domains rather than any overall total.",{"question":285,"answer":286},"Does the ESQ-R have clinical cutoffs or severity thresholds?","No. The ESQ-R does not have established clinical cutoffs or severity bands. Interpretation relies on comparing relative strengths and vulnerabilities across the 12 domains rather than applying absolute thresholds. Scores should be considered alongside context such as workload, stress levels, and daily demands.",{"question":288,"answer":289},"Can the ESQ-R diagnose ADHD or other neurodevelopmental conditions?","No. The ESQ-R is not a diagnostic instrument and cannot be used to diagnose ADHD, neurodevelopmental conditions, or cognitive impairment. It is designed to support coaching, intervention planning, and psychoeducation by mapping an individual's perceived executive skill profile. A comprehensive neuropsychological or psychiatric evaluation is required for diagnosis.",false,"2026-06-03",{},true,"\u002Fassessments\u002Fesq-r","The ESQ-R is proprietary and distributed through Dawson & Guare’s Executive Skills Training materials and Guilford Press. Use requires appropriate permissions, and reproduction of questionnaire items or scoring materials is restricted. Cite Dawson & Guare’s publications when referencing the instrument.","Administer at intake for coaching, ADHD, or performance-support services, then every 3–6 months for intervention monitoring (or annually for general development), as it is not suited for high-frequency tracking given the gradual nature of executive-skills change.",{"title":5,"description":274},"esq-r","assessments\u002Fesq-r","The Executive Skills Questionnaire – Revised (ESQ-R) is a 36-item self-report measure designed to assess adult executive functioning using Dawson & Guare’s widely used Executive Skills framework. The ESQ-R provides a structured overview of strengths and challenges across 12 executive skill domains essential for daily life, work performance, emotional regulation, and goal-directed behavior. \n\nEach domain is represented by three items rated from 1–5, producing domain scores ranging from 3–15. Higher scores reflect stronger executive functioning in that skill area. The ESQ-R is not a diagnostic tool; it is best used for profiling strengths and needs to support coaching, intervention planning, or psychoeducation.\n","assessment","_Ld3gxrPQPujxDhllJ08fLg2njNaVpzqToihgvyH5wc",[304,309,314,318,322,327,332,336,341,346,351,356,361,366,370,375,379,384,389,394,398,402,407,412,416,420,424,429,433,438,443,448,453,458,462,466,471,475,479,483,487,491,496,500,505,510,515,520,525,530,534,539,543,548,552,557,561,566,571,575,579,583,588,592,596,601,606,607,611,615,619,624,628,632,636,640,644,649,653,657,661,665,669,674,678,682,686,691,696,701,705,709,713,717,722,727,731,735,739,743,747,751,755,759,763,767,771,775,779,784,788,793,797,801,805,810,814,818,823,827,831,835,840,844,848,852,856,860,864,869,874,879,884,888,892,896,900,904,908,912,916,920,925,929,933,937,941,946],{"title":305,"slug":306,"path":307,"categoryTitle":308},"ACE Score","aces","\u002Fassessments\u002Faces","Trauma & PTSD",{"title":310,"slug":311,"path":312,"categoryTitle":313},"ADHD Clinical 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