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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 creative movement is an important part of the classroom learning environment.
I am knowledgeable about creative movement terminology.
I believe that creative movement supports cognitive function.
I know how to adapt an activity I already do in the classroom to incorporate creative movement.

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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
Starting/stopping a movement on cue
Waiting in turn for an activity
Respecting the personal boundaries of others
Portraying the meanings of words through movement (e.g., "fast" or "slow")
Keeping a steady beat
Understanding that movement can express emotion
Cooperating with others in social situations
Learning sequences of movements
Recalling previously-learned information

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