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Critical Thinking for Success
Located in Chicago, IL
Home
About
Bob Kauffman
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Cognitive Behavioral Therapy
Neurofeedback & Biofeedback
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Anxiety
Depression
PTSD
Panic Attacks
Concussions
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Self-Assessment
Adults
Teens – Ages 13 to 18
Teens – Ages 13 to 18 (Parent Version)
Children – Ages 7 to 12
Contact
Blog
eBook
Home
About
Bob Kauffman
Testimonials
Services
Cognitive Behavioral Therapy
Neurofeedback & Biofeedback
Success Coaching
Conditions
Anxiety
Depression
PTSD
Panic Attacks
Concussions
Brain Injuries
Self-Assessment
Adults
Teens – Ages 13 to 18
Teens – Ages 13 to 18 (Parent Version)
Children – Ages 7 to 12
Contact
Blog
eBook
Children – Ages 7 to 12
Thinking Efficiency Questionnaire
Children
(Ages 7-12)
Parent Name
*
First
Last
Child Name
*
First
Last
Child Age
Phone
*
Email
*
My child does things (homework, getting ready to go, etc.) at the last minute.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child's room is a mess.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child fails to plan (homework, projects, having supplies, etc.).
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child is easily frustrated.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child confuses left and right.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has trouble following directions.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child makes errors on familiar tasks.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has a hard time expressing herself verbally.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has trouble listening.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has trouble expressing himself in writing.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has frequent emotional outbursts or meltdowns.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child is frequently worried, anxious, moody, and/or irratable.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child is self-critical.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child is not living up to her potential.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has difficulty playing with other children.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has trouble learning new things.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child tends to be pessimistic or have a "can't do" attitude.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has trouble setting goals.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child is continually late.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child takes a long time to complete tasks.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child loses things.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child has trouble remembering.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My child makes the same mistakes over and over.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
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