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Observation Report Form

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Observation Report Form
Observation Report Form

Observer’s Name: _Stacy Trokey______________________

DATE: _2/27/15_______________ Time: __9:00______________

Child’s Name: _Alex___________________ Child’s Age: _48 months_____

Age Group or Class Observed: ___3-5 years_______________________________

Teacher(s): ___________________________________________________________

Observation Focus: _Routines and Transitions_______________________________

I. Setting:
The observation is being completed within the classroom, at the snack table.

II. Participants:
Alex, 6 other children, two classroom teachers, myself

III. Section 1: The Observation
Staff member brought snack in on tray 10 minutes prior to snack time. Alex, seeing the staff member went and sat at table for snack by climbing over the back
…show more content…

Alex said thank you to the teacher. Alex took a bite out of his cheese stick and observed another child pulling their cheese stick into strings and then started copying that child and eating the cheese stick in strands versus just taking bites out of the cheese stick like before. Alex ate all of snack, removed self from table and put cup in sink.

IV. Section 2: Suggested Characteristics and Needs
After the observation of Alex’s “Routine and Transition” into snack time, it is apparent that Alex is a very independent child. Alex did need to be guided in to the correct order as to get ready for snack time. Alex did not want to clean up for snack time, Alex just wanted to go right into snack time. Alex did follow the steps from the teacher as to clean up, then wash hands.

(Going back to section 1, what does the observation suggest in regards to the child’s characteristics of developmental needs? Every episode should show you a characteristic or a need. Most episodes will show you more than 1 characteristic or need. Cover each characteristic or need thoroughly)

V. Section 3: Theoretical


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