UPDATED Ex Functioning Checklist

Self – Monitoring Assignment Checklist     

   

NAME_________________________________________.      DATE_____________________

1.One Academic Goal that I have for MARKING PERIOD #_________ is: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

2. Potential Obstacles that can get in my way are:

     1._____________________________________________________________________________

     2._____________________________________________________________________________ 

     3. _____________________________________________________________________

 

3.  My plan to help achieve this goal:

  1._____________________________________________________________________________

  2. __________________________________________________________________

  3. __________________________________________________________________

 

 

 

Executive Functioning Skills

SCORE 0-5 (Zero not at all; 5 perfect!)

I check Schoology for assignments.

 

 

I have attended every day this week.

 

I ask for help when needed.

 

 

I handed in all assignments.