Response the edit and code the following questionnaire of a pre-dissertation doctoral program:
1. Are you male or female?
2. Which category below includes your age?
18-25 26-39 40-55 56-older
3. What is the highest level of school you have completed or the highest degree you have received?
High-school Community college Certificate Degree: BA/MA
4. Which of the following categories best describes your employment status?
Head teacher Teacher assistant Administration Intern
5. How many years are you at this current job? ___________
6. What is your satisfaction experience at this school?
Very satisfied Neither satisfied nor dissatisfied Dissatisfied with it?
7. Which of the category below best describes the number of daily challenging behaviors in your classroom?
0 1-3 4-6 7-10 higher
8. Which of the category below best describes your early childhood background and knowledge?
Very Knowledgeable Knowledgeable Somewhat Knowledgeable Not at all
9. Are you comfortable at choosing behavioral characteristics that you consider are developmentally age appropriate?
Yes No
10. If you answered yes to the previous question, can you please mark the category most associated with the developmentally age appropriate behavior, per each age. Circle the age that is most typically associated with the behavior, and the frequency that is would be considered most typical for that age category:
a. Biting:
• 12-24 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 25-32 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 3-4 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
• 5 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
b. Hitting
• 12-24 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 25-32 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 3-4 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
• 5 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
c. Grabbing a toy from another child:
• 12-24 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 25-32 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 3-4 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
• 5 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
d. Having a tantrum
• 12-24 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 25-32 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 3-4 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
• 5 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
e. Running away or escaping
• 12-24 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 25-32 months - 1-2 a week 1-2 a day 3-4 a day not at all
• 3-4 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
• 5 year olds - 1-2 a week 1-2 a day 3-4 a day not at all
11. Are you comfortable at linking the following stages of early childhood development to their appropriate age range?
12. If you answered yes, please circle the age range most associated with the developmental stage:
a. Sensorimotor 0-2 2-3 3-4 4-5
b. Autonomy vs. Same & Doubt 0-2 2-3 3-4 4-5
c. Initiative vs. Guilt 0-2 2-3 3-4 4-5
d. Industry vs. Inferiority 0-2 2-3 3-4 4-5
13. Which of the category below best fits how comfortable you are at rating your knowledge of special needs characteristics?
VeryKnowledgeable Knowledgeable Somewhat Knowledgeable Not at all
14. Are you comfortable at defining the abbreviated initials of the emotional-behavioral disorders (EBD) below? If so, please write the full name of each disorder on the line underneath it.
ADHD ODD CD
15. Are you comfortable at linking the following developmental expectations to their age appropriate milestones?
Yes No
16. If answered yes, please circle the age range most associated with the stage of development:
a. Language and speech - 0-2 2-3 3-4 4-5 5-6
b. Attentiveness 0-2 2-3 3-4 4-5 5-6
c. Tantrums 0-2 2-3 3-4 4-5 5-6
d. Aggression 0-2 2-3 3-4 4-5 5-6
e. Defiance 0-2 2-3 3-4 4-5 5-6
f. Telling lies 0-2 2-3 3-4 4-5 5-6
17. Are you comfortable at choosing two characteristics per each EBD that define the disorder?
Yes No
18. If you answered yes, can you please mark two characteristics of EBD per each category by circling Yes, or No:
a. ADHD
Yes/No - ADHD is a neurobehavioral disorder that affects children, adolescents, and adults.
Yes/No - ADHD shows itself as a persistent pattern of inattention and/or hyperactivity/impulsivity that is more frequent and severe than is typically seen in ones' peers.
Yes/No - ADHD is the cause of speech delay and/or impairment
Yes/No - ADHD is the cause of poor parenting
b. ODD
Yes/No - ODD children have a hard time allowing anyone else, mainly adults, maintain authority over them.
Yes/No - ODD children are not communicative
Yes/No - ODD children have frequent tantrums and are conditioned to socially unacceptable expressions of anger
Yes/No - ODD children have issues with attachment
c. CD
Yes/No - children with CD are aggressive
Yes/No - children with CD have limited to no language or communication skills
Yes/No - children with CD lie and steal
Yes/No - children with CD have poor fine motor skills
19. On an average school year, how many children already labeled as special needs do you have in your class?
0-1 1-2 2-4 higher
20. On an average school year, how many children being diagnosed with a disorder do you have in your class?
0-1 1-2 2-4 higher
21. On an average school year, how many children would you recommend special education assessment for the potential EBD of: ADHD, ODD, CD?
(Pick a category, then choose the number of children that fit in it)
• ADHD 0-1 1-2 2-4 higher
• ODD 0-1 1-2 2-4 higher
• CD 0-1 1-2 2-4 higher