SRAENE – Core Components Evaluation, Co-Regulation Strategies, Instrument 1
This study is sponsored by the Administration for Children and Families (ACF) within the U.S. Department of Health and Human Services and is being conducted by Mathematica. The purpose of this log is to learn about your experience using the co-regulation strategies when delivering Love Notes. The information we collect will not be used to evaluate your performance as a facilitator so please just do your best to answer honestly.
If you have any questions or comments about this information collection, contact Melissa Thomas, the survey director, at mthomas@mathematica-mpr.com or (609) 275-2231. If you have any questions or concerns about your rights as a study participant, please contact the Health Media Lab Institutional Review Board at (202) 246-8504.
Please complete this log after each class where you deliver Love Notes. This should take 2 minutes to complete.
Facilitator: ____________________ School: ____________________ Class period: ________ Love Notes lesson #: ________
|
During this class, did you use… |
For strategies I used, I thought it went … |
|||
Welcome |
Yes |
No |
Poorly |
Pretty good |
Excellent |
Two-part praise |
Yes |
No |
Poorly |
Pretty good |
Excellent |
Written praise |
Yes |
No |
Poorly |
Pretty good |
Excellent |
Group agreements |
Yes |
No |
Poorly |
Pretty good |
Excellent |
Breath to focus |
Yes |
No |
Poorly |
Pretty good |
Excellent |
Take note |
Yes |
No |
Poorly |
Pretty good |
Excellent |
Rest and return |
Yes |
No |
Poorly |
Pretty good |
Excellent |
Did anything happen during class that prevented you from delivering the Love Notes lesson? (for example, a fire drill, school assembly, etc.)
Yes No
DRAFT
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | 1-column report template |
Author | Caroline O'Callahan |
File Modified | 0000-00-00 |
File Created | 2025-05-29 |