Elementary Creative Movement Pre-Survey 2019/20

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* 1. Site Name:

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* 2. Your name:

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* 3. Email:

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* 4. Below are a number of statements regarding attitudes towards creative movement in the classroom. Please read each one and indicate to what degree you agree or disagree with each statement.

	1- Strongly disagree	2- Disagree	3- Somewhat disagree	4- Somewhat agree	5- Agree	6- Strongly agree
I feel comfortable facilitating movement-based activities in my classroom.	I feel comfortable facilitating movement-based activities in my classroom. 1- Strongly disagree	I feel comfortable facilitating movement-based activities in my classroom. 2- Disagree	I feel comfortable facilitating movement-based activities in my classroom. 3- Somewhat disagree	I feel comfortable facilitating movement-based activities in my classroom. 4- Somewhat agree	I feel comfortable facilitating movement-based activities in my classroom. 5- Agree	I feel comfortable facilitating movement-based activities in my classroom. 6- Strongly agree
I feel creative movement is an important part of the classroom learning environment.	I feel creative movement is an important part of the classroom learning environment. 1- Strongly disagree	I feel creative movement is an important part of the classroom learning environment. 2- Disagree	I feel creative movement is an important part of the classroom learning environment. 3- Somewhat disagree	I feel creative movement is an important part of the classroom learning environment. 4- Somewhat agree	I feel creative movement is an important part of the classroom learning environment. 5- Agree	I feel creative movement is an important part of the classroom learning environment. 6- Strongly agree
I am knowledgeable about creative movement terminology.	I am knowledgeable about creative movement terminology. 1- Strongly disagree	I am knowledgeable about creative movement terminology. 2- Disagree	I am knowledgeable about creative movement terminology. 3- Somewhat disagree	I am knowledgeable about creative movement terminology. 4- Somewhat agree	I am knowledgeable about creative movement terminology. 5- Agree	I am knowledgeable about creative movement terminology. 6- Strongly agree
I believe that creative movement supports cognitive function.	I believe that creative movement supports cognitive function. 1- Strongly disagree	I believe that creative movement supports cognitive function. 2- Disagree	I believe that creative movement supports cognitive function. 3- Somewhat disagree	I believe that creative movement supports cognitive function. 4- Somewhat agree	I believe that creative movement supports cognitive function. 5- Agree	I believe that creative movement supports cognitive function. 6- Strongly agree
I know how to adapt an activity I already do in the classroom to incorporate creative movement.	I know how to adapt an activity I already do in the classroom to incorporate creative movement. 1- Strongly disagree	I know how to adapt an activity I already do in the classroom to incorporate creative movement. 2- Disagree	I know how to adapt an activity I already do in the classroom to incorporate creative movement. 3- Somewhat disagree	I know how to adapt an activity I already do in the classroom to incorporate creative movement. 4- Somewhat agree	I know how to adapt an activity I already do in the classroom to incorporate creative movement. 5- Agree	I know how to adapt an activity I already do in the classroom to incorporate creative movement. 6- Strongly agree

How many times per week do you use movement-based activities in the classroom?

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* 5. Below are a number of cognitive and social emotional skills. Please think of a specific child, representative of your overall classroom, and rate this child's proficiency on each skill.

	1- Not at all proficient	2- Slightly proficient	3- Moderately proficient	4- Significantly proficient	5- Completely proficient
Staying on task	Staying on task 1- Not at all proficient	Staying on task 2- Slightly proficient	Staying on task 3- Moderately proficient	Staying on task 4- Significantly proficient	Staying on task 5- Completely proficient
Starting/stopping a movement on cue	Starting/stopping a movement on cue 1- Not at all proficient	Starting/stopping a movement on cue 2- Slightly proficient	Starting/stopping a movement on cue 3- Moderately proficient	Starting/stopping a movement on cue 4- Significantly proficient	Starting/stopping a movement on cue 5- Completely proficient
Waiting in turn for an activity	Waiting in turn for an activity 1- Not at all proficient	Waiting in turn for an activity 2- Slightly proficient	Waiting in turn for an activity 3- Moderately proficient	Waiting in turn for an activity 4- Significantly proficient	Waiting in turn for an activity 5- Completely proficient
Respecting the personal boundaries of others	Respecting the personal boundaries of others 1- Not at all proficient	Respecting the personal boundaries of others 2- Slightly proficient	Respecting the personal boundaries of others 3- Moderately proficient	Respecting the personal boundaries of others 4- Significantly proficient	Respecting the personal boundaries of others 5- Completely proficient
Portraying the meanings of words through movement (e.g., "fast" or "slow")	Portraying the meanings of words through movement (e.g., "fast" or "slow") 1- Not at all proficient	Portraying the meanings of words through movement (e.g., "fast" or "slow") 2- Slightly proficient	Portraying the meanings of words through movement (e.g., "fast" or "slow") 3- Moderately proficient	Portraying the meanings of words through movement (e.g., "fast" or "slow") 4- Significantly proficient	Portraying the meanings of words through movement (e.g., "fast" or "slow") 5- Completely proficient
Keeping a steady beat	Keeping a steady beat 1- Not at all proficient	Keeping a steady beat 2- Slightly proficient	Keeping a steady beat 3- Moderately proficient	Keeping a steady beat 4- Significantly proficient	Keeping a steady beat 5- Completely proficient
Understanding that movement can express emotion	Understanding that movement can express emotion 1- Not at all proficient	Understanding that movement can express emotion 2- Slightly proficient	Understanding that movement can express emotion 3- Moderately proficient	Understanding that movement can express emotion 4- Significantly proficient	Understanding that movement can express emotion 5- Completely proficient
Cooperating with others in social situations	Cooperating with others in social situations 1- Not at all proficient	Cooperating with others in social situations 2- Slightly proficient	Cooperating with others in social situations 3- Moderately proficient	Cooperating with others in social situations 4- Significantly proficient	Cooperating with others in social situations 5- Completely proficient
Learning sequences of movements	Learning sequences of movements 1- Not at all proficient	Learning sequences of movements 2- Slightly proficient	Learning sequences of movements 3- Moderately proficient	Learning sequences of movements 4- Significantly proficient	Learning sequences of movements 5- Completely proficient
Recalling previously-learned information	Recalling previously-learned information 1- Not at all proficient	Recalling previously-learned information 2- Slightly proficient	Recalling previously-learned information 3- Moderately proficient	Recalling previously-learned information 4- Significantly proficient	Recalling previously-learned information 5- Completely proficient