Executive Function Activity Sheet (Fillable PDF)

Description

The Executive Function Activity Sheet is a practical planning and reflection tool designed to support the development of executive skills through intentional activity design and observation.

This fillable PDF guides users through setting up an activity, identifying the primary executive skill focus, documenting supports provided, and reflecting on engagement and outcomes. When used consistently, it can help highlight patterns, effective strategies, and areas that may benefit from adjustment.

This tool is non-diagnostic and is intended for educational and support purposes only. It does not replace professional assessment or individualized planning but can support clearer understanding and more informed next steps.

How this activity sheet is used

Plan an activity with a clear executive skill focus
• Observe how the child or individual engages with the task
• Record supports used, behaviors observed, and engagement level
• Reflect on what worked, what was challenging, and what to adjust next time
• Use across multiple sessions to identify patterns and progress

What is included

• 4-page fillable PDF
  • 1 cover – introduction page
  • 3 structured activity planning and reflection pages

Covers executive skill areas such as:

○ Working memory
○ Planning and organization
○ Task initiation
○ Impulse control
○ Cognitive flexibility
○ Emotional regulation

Includes:

• Activity planning sections
• Observation checklists
• Engagement rating
• Reflection and next-step planning

Important notes

• This is a non-diagnostic planning and reflection tool
• It does not assess or diagnose executive function challenges or ADHD
• Designed to support learning, reflection, and informed adjustments over time
• Can be used with children, teens, or adults depending on context

File format and compatibility

• Fillable PDF
• Designed for use on desktop or laptop using Adobe Reader (free)
• Mobile and tablet PDF apps may have limited fillable functionality
• No physical product will be shipped

Who this is for

• Parents and caregivers
• Educators and classroom support staff
• Learning specialists and coaches
• Support professionals and advocates
• Adults supporting executive skill development

Licensing

Purchase includes a single-user license for personal or professional use with your own students or clients.
Sharing, reselling, or redistributing this file is not permitted.