OMB Control #: XXXX-XXXX
EMA Survey Questions
Administered on the first survey of each new assessment period:
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to identify teacher practices for supporting children’s social-emotional development and to identify training and implementation factors that may enhance these practices. Public reporting burden for this collection of information is estimated to average 4 minutes per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. Additionally, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB number for this information collection is OMB Control #: XXXX-XXXX and it expires on [DATE]. If you have any comments on this collection of information, please contact [NAME AND CONTACT INFORMATION].
Have you set up a calm corner where children in your class can go if they have overwhelming feelings? If Y, ask:
Have you practiced use of the calm corner with your class?
Do you have sensory objects such as stress balls, drawing materials, fidgets in your calm corner?
Have you made stress balls with your class as described in RLR Toolkit? Y (1), N (0);
If Y, ask:
How often do you use stress balls with the children?
Rarely or only once (0)
Once a week (1)
Once a day (2)
Several times a day (3)
For last survey of the day only:
Today did you:
Create opportunities for children to interact in pairs. Y N
Celebrate a child in a text, note, or other message to their caregiver? Y (1), N (0)
Use books, songs, or other activities to talk with children in your class about feelings? Y (1), N (0)
Practice any relaxation exercises/ coping strategies (e.g., belly breaths, yoga, mindfulness, progressive muscle relaxation) with children in your class? Y (1), N (0) If Y, what did you do (check all that you used)?
Belly breathing
Happy box
Stress balls
Muscle relaxation (e.g., lemon squeezy)
Use of art to relax
Yoga
Mindfulness
Other: [text box]
Was there a child who harmed another child (verbally or physically)? If Y:
Did you focus on helping them understand the impact of their actions on others and restoring the relationship?
Do something to promote children’s awareness and acceptance of peers who are different from them (e.g., book reading, celebrating different cultures and holidays)? Y N
Provider Self-Care
Select all of the self-care activities that you did yesterday:
Exercised
Got support from a friend or loved one
Practiced meditation in a formal way that focused my attention and awareness
Planned time off/ vacation
I did not do any self-care activities yesterday (0)
Another wellness activity [describe]
If you used any self-care strategies yesterday, how effective was this in improving your mood/ stress level? (1-5 scale, from 1= not at all effective to 5 very effective)
Every survey: The next set of questions asks about what happened in the last hour specifically:
What activities were the children doing?
Center time
Circle time
Outdoor play
Snack/lunch
Other: ____________________________________
Creating a Safe Environment
Responses for the following items: Y N No Opportunity
In the last hour, did you:
Redirect a child by telling them what to do instead of what NOT to do.
Acknowledge a child’s feelings when they didn’t want to do something
Give choices.
Stay calm with children even when you felt upset.
Follow through with classroom expectations.
Remind children about transitions and schedule changes.
Notice your own thoughts and reactions to children.
Building Relationships and Connectedness
In the last hour, did you:
Use reflective listening (that is, listen with full attention to children, repeat back, reflect a feeling)? Y(1), N(0)
No Opportunity
Not at all (0)
Once (1)
Two times(2)
Three or more times (3)
Talk with a child(ren) about specific feelings using feeling words? Y (1), N (0)
How many times did you praise children very specifically for what they did (use labeled praise)?
Notice and comment when children meet classroom behavioral expectations. Y (1) N (0)
Actively ignore difficult (but not unsafe) behaviors Y N N/A
Supporting and Teaching Emotion Regulation
In the last hour, did you:
Anticipate when children might feel challenged or frustrated.
Help children identify feelings they were having. Y N If Y:
Not at all (0)
Once (1)
More than once (2)
Encourage children to use sensory objects to help with emotion regulation. Y N
Did a child (or children) need help calming down? If Y:
Did they use the calm corner?
I don’t have a calm corner (0)
I verbally encouraged them to use it (1)
I physically guided them to the corner (0)
They used it on their own (3)
Some children required encouragement, others used it on their own (2)
Did they use a sensory item to help calm down? Y (1), N (0)
Stress and Self-Care
In the last hour:
How would you describe your stress level?
I did not feel stressed (2)
A little stressed
Moderately stressed (1)
Very stressed
Unmanageable—I was overwhelmed (0)
What did you do (or are you doing) to manage your stress?
I did not do anything
Took a short break during the day
Got support from peers/colleagues
Laughed/ Cried
Remind myself of the good things I do or the positive qualities I bring to my teaching
Prayed or took deep breaths
Said “No” to something
Other
How did this impact your classroom practices? Select all that apply:
I didn’t notice a difference
I was better able to model coping skills with children (e.g., deep breathing, taking a break)
I was better able to use reflective listening (listen with full attention to children, repeat back, reflect a feeling) and keep a calm voice
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Alexandra Verhoye |
File Modified | 0000-00-00 |
File Created | 2021-12-15 |