You can always press Enter⏎ to continue
Three Levels of Burnout: Pre-Class Assessment
Hi there, please fill out and submit this form before we begin.
10
Questions
START
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
3
Date
*
This field is required.
-
Date
Year
Month
Day
Previous
Next
Submit
Press
Enter
4
Please rate your overall knowledge of recognizing and addressing burnout in the Early Learning environment
*
This field is required.
Please select an answer from the drop down below with 1 being the lowest, 5 being the highest, or Not Applicable
1
2
3
4
5
Not Applicable
1
2
3
4
5
Not Applicable
Previous
Next
Submit
Press
Enter
5
Please rate your level of comfort using human connection type strategies to reduce 3 levels of burnout:
*
This field is required.
Please select an answer from the drop down below with 1 being the lowest, 5 being the highest, or Not Applicable
1
2
3
4
5
Not Applicable
1
2
3
4
5
Not Applicable
Previous
Next
Submit
Press
Enter
6
Please rate your confidence with applying these Burnout-calming strategies across Early Childhood lesson plans, curriculum, programming:
*
This field is required.
Please select an answer from the drop down below with 1 being the lowest, 5 being the highest, or Not Applicable
1
2
3
4
5
Not Applicable
1
2
3
4
5
Not Applicable
Previous
Next
Submit
Press
Enter
7
What causes burnout in children?
*
This field is required.
Choose the best answer
Nightmares
The Pandemic
Parental Yelling
Multiple Forms of Stress
Previous
Next
Submit
Press
Enter
8
What type of movement can reduce burnout by promoting self-regulation and distress tolerance?
*
This field is required.
Jumping Jacks
Swimming
Yoga
Swinging
Previous
Next
Submit
Press
Enter
9
How can staff, teachers, and administration help reduce burnout for each other?
*
This field is required.
Take CEs in Stress Reduction
Practice Compassion
Report Staff Anger to Administration
Previous
Next
Submit
Press
Enter
10
List three goals you have about taking this training in reducing 3 Levels of Burnout:
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
10
See All
Go Back
Submit