Clinical Assessment

Executive Skills Questionnaire – Revised (ESQ-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. Each 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.

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.

Foundational Context

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 executive skill strengths, which can be drawn on for success, and skill vulnerabilities, which may impede follow-through, emotional regulation, or productivity.

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.

What the Assessment Measures

The ESQ-R evaluates 12 executive skill domains, each represented by three items:

  1. Response Inhibition – resisting impulses and distractions
  2. Working Memory – holding and manipulating information mentally
  3. Emotional Control – managing emotional responses
  4. Sustained Attention – maintaining focus over time
  5. Task Initiation – beginning tasks without undue delay
  6. Planning / Prioritization – setting goals and determining the best order of steps
  7. Organization – keeping materials, tasks, and physical spaces orderly
  8. Time Management – using time effectively and estimating task durations
  9. Goal-Directed Persistence – staying with tasks to completion
  10. Flexibility – adapting to change or shifting strategies
  11. Metacognition – self-monitoring and reflecting on performance
  12. Stress Tolerance – coping effectively with stress or pressur

These domains provide a granular profile of functional skills relevant to work performance, academic success, and daily routine management.

Interpretation Guidelines

Each domain score ranges from 3–15:

  • Higher scores → stronger executive functioning in that domain
  • Lower scores → areas where support, accommodations, or strategies may be beneficial

Interpretation Notes:

  • There are no clinical cutoffs
  • Profiles should be interpreted by comparing relative strengths and weaknesses, not absolute values
  • Executive functioning varies across environments, context matters (e.g., stress, sleep, workload)
  • The ESQ-R is not diagnostic and should not be used to identify ADHD or cognitive disorders
  • Skill vulnerabilities may reflect chronic stress, burnout, trauma, mental health symptoms, or unmet support needs

Psychometric Properties

Reliability

  • Strong internal consistency across most domains
  • Demonstrated stability when used for adult coaching and intervention planning
  • Reliable for identifying relative strengths and weaknesses

Validity

  • Conceptually grounded in Dawson & Guare’s well-established framework
  • Shows good construct validity for everyday executive functioning
  • Commonly used in neuropsychological-informed coaching and education contexts
  • Not validated as a standalone clinical or diagnostic measure

Administration Considerations

  • Works well in coaching, occupational therapy, psychotherapy, ADHD support, and executive-function training
  • Easy to administer in both clinical and non-clinical settings
  • Best paired with structured interviews or goal-setting discussions
  • Scores can guide individualized strategy-building (e.g., planners, environmental supports, cognitive tools)
  • Insight may vary; discussing examples from daily life enhances accuracy

Limitations

  • Not intended for diagnosis or cognitive impairment detection
  • Self-report may be influenced by mood, stress, or self-perception
  • Scores reflect perceived behavior, not objective executive functioning
  • Limited peer-reviewed psychometric research due to proprietary nature

References

Disclaimer: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.
© Dawson & Guare / Guilford Press / Executive Skills Training. All rights reserved.