BRIEF'2 Behavior Rating Inventory of Executive Function? Second Edition PARENT FORM Gerard A. Gioia, PhD, Peter K. Isquith, PhD, Steven C. Guy, PhD, and Lauren Kenworthy, PhD Instructions (On the following pages is a list of statements that describe children. We would like to know if your child has had problems with these behaviors over the past 6 months. Please answer all the ‘items the best that you can. Please DO NOT SKIP ANY ITEMS. Think about your child as you read each statement and circle: N__ if the behavior is Never a problem S__ if the behavior is Sometimes a problem © ifthe behavior is Often a problem For example, if your child never has trouble completing homework on time, you would circle N for this item: Has trouble completing homework on time ® so If you make a mistake or want to change your answer, DO NOT ERASE. Draw an “X” through the answer you want to change and then circle the correct answer: Has trouble completing homework on time ®Q®@Oo Before you begin answering the items, please fill in your child’s name, gender, age, grade, your relationship to the child, today’s date, and child’s date of birth in the spaces provided at the top of the next page PAR, - 16204 N. Florida Ave. « Lutz, FL 33549 * 1.800.331.8378 * www.parinc.com Copyright© 1296, 1988, 2000, 2015 by PAR. Al ghs reserved. May not be reproduced in whole on partin any frm or by any mears without writen permission (of PAR. This fois pred in groen rk on caronles paper. Any oer version s unauthorized, 987 Reorder #20-10973 Printed inthe US.A ieee EeBRIEF2 Date ofbirtn Child's name, ae Gender. Ave, Grade. Relationship Todays Rater's name. to child ate $=Sometimes 0 = Often 1. | Is fidgety 2. | Ress or has rouble accepting a diferent way 1 solve a problem with schoolwork, frends, tasks, et. 3. | When biven three things to do, remembers ony the fst or ast 4.| Is unaware of how his/her behavior affects or bothers others Works sloppy 6. | Has explosive angry outbursts 7. | Does nt plan ahead for School assignments 8. | Cannot al things in room or school desk 9. | isnot self-starter 10. | Does not think before doing (impulsive) 11, | Has trouble geting used to new situations (dasses, groups frends, et) 12, | Has a shor attention span 13, | Ha poor understanding of dum sirengins and weaknesses 14, | Has outbursts forte reason 15. | Gets caught up in details and misses the big picture 416, | Gets out of conrol more than friends 17. | Gets stuck on one topic o actity 18, | Forgets his/her name 49, | Has trouble with chores or tasks that have more than one sep 20, | Does not realize that certain actions bother others 21. | Writen Work is poory organized 22. | Small events trigger big reactions 23. | Has good ideas but does not get job done (lacks follow-through) 24, | Tas atthe wrong time 25. | Has trouble finishing tasks (chores, homework, etc.) 26. | Does not notice when his/her behavior causes negate reactions 27. | Reacs ior stony t6 siuations then ther children 28, | Has wouble cemembering things, even for afew minutes 29, | Nokes careless erors 30. | Gets out of seat at the wrong times 31. | Becomes upset with new situations z fy 2 iy = tae = ee = fee = fez ez ee ze = fee = ee > fee oe > ee 2 ee > COOH FHHOHHHHHHHDHHHHHDHHDHHHOHLHHOOD 32. | Has trouble concentrating on tasks, schoolwork, et eecesr eo FoF BDFD BODO BOD OBO OOOO OO BOOHas poor handwriting Mood changes frequently Has good ideas but cannot get them on paper Has trouble counting to three Leaves messes that others have to clean up Needs to be told to begin a task even when willing Acts too wild or “out of control” Thinks too much about the same topic Forgets what he/she was doing Does not check work for mistakes ‘Angry or tearful outbursts are intense but end suddenly Becomes overwhelmed by large assignments ‘Loses lunch box, lunch money, permission slips, homework, et. "Needs help from an adit to stay on task Forgets to hand in homework, even when completed Has trouble putting the brakes on his/her actions Resists change of routine, foods, places, etc. Has trouble geting started on homework or tasks Mood is easily influenced by the situation Underestimates time needed to finish tasks oes not ring home homework, assignment sheets, materials, etc. Cannot find the front door of home Does not take iniative Becomes upset too easly ‘Starts assignments or tasks at the last minute Has trouble moving from one activity to another Has trouble carrying out the actions needed to reach goals (saving money for special item, studying to get a ‘good grade, cic) Is disturbed by change of teacher or class Has trouble organizing activities with friends Becomes too silly Leaves a tral of Belongings wherever he/she goes me = fen 2 ee = fee ae z fe fe fee = fee = fez fee = ae = feet > fee = fe = OHHH AHOHHOAHHDOHHOOXDODE OOD OHD BHD HOD S°9B FB CFOS COO DOB OOO BOBO DO BOO OG OO