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Critical Thinking for Success
Located in Chicago, IL
Home
About
Bob Kauffman
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Services
Cognitive Behavioral Therapy
Neurofeedback & Biofeedback
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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
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
Teens – Ages 13 to 18
Thinking Efficiency Questionnaire
Teens
(Ages 13-18)
Name
*
First
Last
Age
Phone
*
Email
*
I do things (homework, getting ready to go, etc.) at the last minute.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
My room is a mess.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I fail to plan (homework, projects, having supplies, etc.).
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I am easily frustrated.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I get lost or confused going places.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have trouble following directions.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I make errors on familiar tasks.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have a hard time expressing myself verbally.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have trouble listening.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have trouble expressing myself in writing.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have frequent emotional outbursts.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I am frequently worried, anxious, moody, and/or irratable.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I am self-critical.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I am not living up to my potential.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have trouble making and keeping friends
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have trouble learning new things.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I tend to be pessimistic or have a "can't do" attitude.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have trouble setting goals.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I am continually late.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I don't have enough time.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I over schedule myself.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I lose things.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I have trouble remembering.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
I make the same mistakes over and over.
*
Strongly Disagree
Somewhat Disagree
Neutral
Somewhat Agree
Strongly Agree
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