BDEFS: Self Report Fillable BDEFS-SF: Self Report Code Name: * Date of birth * Date: * (Your code name is the first three letters of your first and last name. For example, John Doe, would have the following code name: JOHDOE). Phone: * Email: * Instructions: How often do you experience each of these problems? Please circle the number next to each item that best describes your behavior DURING THE PAST 6 MONTHS. Short Form Items: 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 1. Procrastinate or put 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 I need to remember to do 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 3. Not motivated to prepare in advance for things I know I am supposed to do 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 4. Have trouble doing what I tell myself to do 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 5. Have trouble learning new or complex activities as well as others 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 6. Have 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 my feet" or respond as effectively as others to expected events 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 8. I don'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 my reactions or responses to events or others 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 10. Make 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. Fail to consider past relevant events or past personal experiences before responding to situations. (I act without thinking) 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 13. Do not put as much effort into my work as I should or than others are able to do 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 14. Others tell me I am lazy or unmotivated 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 15. Inconsistent in the quality or quantity of my 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. Have trouble calming myself down once I am emotionally upset 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 18. Cannot seem to regain emotional control and become more reasonable once I am emotional 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 19. Cannot seem to distract myself away from whatever is upsetting me emotionally to help calm me down. I can't refocus my mind to a more positive framework 1 - Never or Rarely 2 - Sometimes 3 - Often 4 - Very Often 20. I remain 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
