ZONES OF REGULATION STAFF PRE-QUESTIONNAIRE Date:______________________

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I believe in the value of implementing the Zones of Regulation to support student learning and outcomes
I provide students the opportunity to acknowledge their state of readiness for learning.
I provide students the opportunity to take action and ready themselves for learning/participation.
I support students who have difficulty with self-regulation (e.g., making transitions, staying on task, etc)
by teaching them productive ways to self-regulate in support of learning.
I have developed an implementation plan to support my implementation of the zones curriculum and
have thought about how I will integrate the concepts throughout the school day.
I have dedicated time, and will adapt my school day routines and rituals to ensure I am supporting
students in their development of self-regulation (using the zones program and other strategies)
I feel supported in implementing this program.
I feel ready to implement this program fully and effectively.
I understand how the learning from Zones of Regulation will improve my students’ learning and personal
growth.

1. Strongly Disagree
2. Somewhat Disagree
3. Neutral
4. Somewhat Agree
5. Strongly Agree