Problem
A. Place of observation (child care, school, home, playground, other)
B. In detail describe what the child did during the observation period. (What they said and did while interacting with others or during solitary play, etc.)
C. Was the observation during a planned activity or free play time?
D. What positive or appropriate behavior did the child display that you would want to encourage?
E. Was there a problem behavior that should be addressed, if so what behavior(s)?
F. What did you learn about the child in the following developmental areas?
• Cognitive
• Physical
• Social/Emotional
• Language.