OBSERVATION # ___

A. PRELIMINARY INFORMATION

Child’s Name:
Child’s Age and Birthday:
Date of Observation:
Time of Observation: (1 Hour. Ex: 9:15-10:15 AM)
Setting of the Observation: (Describe the activity that is going on—storytelling, free play, art activity,
etc.) State if the child is interacting with other children or adults.

Others: (Any physical conditions or natural phenomena which you think may directly or indirectly
influence child’s behavior for that particular observation day. Ex: Weather, temperature, event, previous
absence of the child, new people in the room, etc.

B. RUNNING NOTES (15 minutes) – Please be VERY detailed.

Time Observed Behavior Interpretation
9:20 Joy lifted the chair using her right hand She wants to show that she is strong.
and smiled.
9:21 Joy put down the chair on the floor and She accidentally hit her foot with the
cried. chair.

C. PERSONAL IMPRESSIONS (Please answer ALL)

1. Overall impression on the child that day, you may want to connect the behavior observed to theories
or other internal and external factors. You may also focus on the behavior that interested you the most.

2. Do you have questions about what you have seen? What could be the possible answer to your
question?

3. What comments or suggestions would you like to make about what you observed that day to help
further enhance the development of children?