Your Name (optional)

Role (e.g. Teacher, Teaching Assistant, Principal, Counselor)

Age of children you teach (select all that apply)
3 years4 years5 years6 years7 yearsother

What is the socioeconomic background of the majority of your children?
—Please choose an option—Lower than averageAverageHigher than average

How often do you teach the YCDI! Early Childhood Program Achieve curriculum?
—Please choose an option—Twice weeklyWeeklyEvery other week

How long is your typical session (in minutes)?

Which of the following sessions in the Parent Guide have you presented to your parents?
Session 1 Introduction to Social and Emotional Learning at HomeSession 2 How to Communicate Positive Messages to Your Child to Develop the 5 FoundationsSession 3 Practical Suggestions for Developing the 5 Foundations at HomeSession 4 Teaching the 5 Foundations through Children’s LiteratureI am not using the Parent Guide

Have you completed the Survey of Young Children’s Social-Emotional Skills on any of your children?
—Please choose an option—YesNo

Indicate the percentage of your children that show a benefit from the YCDI! Early Childhood Program on the following learning outcomes found in the Early Years Learning Framework?

Helps children develop a strong sense of identity.
—Please choose an option—76%-100%51%-75%26%-50%0%-25%

Helps children connect with and contribute to their world.
—Please choose an option—76%-100%51%-75%26%-50%0%-25%

Helps children have a strong sense of wellbeing.
—Please choose an option—76%-100%51%-75%26%-50%0%-25%

Helps children become confident and involved learners.
—Please choose an option—76%-100%51%-75%26%-50%0%-25%

Helps children become effective communicators.
—Please choose an option—76%-100%51%-75%26%-50%0%-25%

What overall rating would you give this program?
—Please choose an option—ExcellentVery GoodGoodFairPoor

What are some tips you can offer for teaching the YCDI! Early Childhood Program Achieve?

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