BDEFS Other BDEFS-SF Other-Report Code name of client being rated: * Your first name: * Date: * (The code name is the first three letters of the client's first and last name. For example, John Doe, would have the following code name: JOHDOE). Phone * Email * Your relationship to the person being rated (Check one): Mother Father Brother/Sister Spouse/Partner Friend Other: Other: Instructions: You are being asked to describe the behavior of someone whom you know well. How often does that person experience each of these problems? Please circle the number next to each item that best describes the person’s behavior DURING THE PAST 6 MONTHS. Short form items: 1. Never or rarely 2. Sometimes 3. Often 4. Very often 1. Procrastinates or puts off doing things until the last minute 1. Never or rarely 2. Sometimes 3. Often 4. Very often 2. Can't seem to hold in mind things he/she needs to remember to do 1. Never or rarely 2. Sometimes 3. Often 4. Very often 3. Not motivated to prepare in advance for things he/she knows he/she is supposed to do 1. Never or rarely 2. Sometimes 3. Often 4. Very often 4. Has trouble doing what he/she tells self to do 1. Never or rarely 2. Sometimes 3. Often 4. Very often 5. Has trouble learning new or complex activities as well as others 1. Never or rarely 2. Sometimes 3. Often 4. Very often 6. Has difficulty explaining things in their proper order or sequence 1. Never or rarely 2. Sometimes 3. Often 4. Very often 7. Unable to "think on his/her feet" or respond as effectively as others to unexpected events 1. Never or rarely 2. Sometimes 3. Often 4. Very often 8. Doesn't seem to process information as quickly or as accurately as others 1. Never or rarely 2. Sometimes 3. Often 4. Very often 9. Unable to inhibit his/her reactions or responses to events or others 1. Never or rarely 2. Sometimes 3. Often 4. Very often 10. Makes impulsive comments to others 1. Never or rarely 2. Sometimes 3. Often 4. Very often 11. Likely to do things without considering the consequences for doing them 1. Never or rarely 2. Sometimes 3. Often 4. Very often 12. Fails to consider past relevant events or past personal experiences before responding to situations (acts without thinking) 1. Never or rarely 2. Sometimes 3. Often 4. Very often 13. Does not put as much effort into his/her work as he/she should or as others are able to do 1. Never or rarely 2. Sometimes 3. Often 4. Very often 14. Others tell him/her that he/she is lazy or unmotivated 1. Never or rarely 2. Sometimes 3. Often 4. Very often 15. Inconsistent in the quality or quantity of his/her work performance 1. Never or rarely 2. Sometimes 3. Often 4. Very often 16. Unable to work as well as others without supervision or frequent instruction 1. Never or rarely 2. Sometimes 3. Often 4. Very often 17. Has trouble calming self down once he/she is emotionally upset 1. Never or rarely 2. Sometimes 3. Often 4. Very often 18. Cannot seem to regain emotional control and becomes more reasonable once he/she is emotional 1. Never or rarely 2. Sometimes 3. Often 4. Very often 19. Cannot seem to distract self from whatever is upsetting him/her emotionally to help calm self down. Can't refocus his/her mind to a more positive framework 1. Never or rarely 2. Sometimes 3. Often 4. Very often 20. Remains emotional or upset longer than others 1. Never or rarely 2. Sometimes 3. Often 4. Very often Submit If you are human, leave this field blank. Δ
