CLASSROOM OBSERVATION REPORT
*To be completed by someone other than the student’s general education classroom teacher.
Student Name:
Observer:
Teacher Observed:
Time Started:
Birthdate:
Observation Date:
Class Size:
Time Ended:
Part 1: Based upon your observation please place a check mark by the items listed below that describe the student
according to the area(s) of concern.
Reading:
trouble recognizing letters/words
lip reads
holds book close to face
problems reading orally
fails to grasp implied meaning
problems recalling information
loses place easily
writes slowly
withdraws from/or touches everything
spells adequately for age
uses incorrect pencil grasp
uses stiff/clumsy movement
has difficulty with spelling
problems with addition facts
problems with subtractions facts
cannot carry numbers
difficulty problem-solving without paper
problems with multiplication facts
problems with division facts
problems with place value
tends to guess at answers
answers questions inappropriately
letter sound omissions
needs questions repeated
problem understanding verbal directions
problems speaking clearly
poor sentence structure
articulation problems
stuttering
limited vocabulary
unusual voice quality
problems copying from the board
poor eye/hand coordination
Comments:
Written Expression:
writes very fast
uses poor sitting posture
handwriting is inappropriate for age
Comments:
Mathematics:
problems with number recognition
problems solving word problems
counts aloud or with fingers
poor understanding of money values
Comments:
Listening Comprehension:
problems following verbal instruction
problems with event sequence
Comments:
Oral Expression:
problems expressing thought/ideas
Comments:
Speech:
problems with language
fluency disruptions
Comments:
Visual-Motor Coordination:
problems with paper/pencil tasks
Comments:
Memory:
visual memory concerns
auditory memory concerns
poor memory retention
Comments:
Part II: Based upon your observation, please place a check mark by the items listed below that describe the student in
comparison to other students in the same grade.
Study Skills:
poor organization of classroom material
poor listening in class
poor note taking
problem with completing class/work
poor classroom participation
lacks class preparation
problem completing homework
poor independent study skills
trouble following directions
problem staying on task
difficulty maintaining self-control
problems with task transition
aggressive behavior
problem accepting authority
impulsive behavior
problem answering oral questions
requests assistance to start tasks
actively refuses to do task
needs verbal encouragement
seeks constant reassurance
completes tasks as requested
refuses to complete tasks
complains before starting tasks
passively retreats from task
needs teacher proximity
is reluctant to have his/her work inspected
takes pride in completed tasks
becomes easily frustrated
defies teacher’s task requirements
works well independently
responds to task without haggling
abuses teacher verbally
rejects teacher support
has no fear of criticism
tests limits of rules
abuses teacher physically
shares materials appropriately
accepts help when needed
physically provokes peers
participates in group activities
is overly assertive in group activities
does not respect others’ property
teases or ridicules others
physically hurts peers
defers own needs for those of the group
disrupts group activities
Comments:
Behavior Skills (Unstructured Setting):
poor interaction with peers
procrastinates
lacks peer group participation
problem accepting consequences
Comments:
Behavior Skills (Classroom Setting):
initiates tasks without help
demands help in order to start
performs without complaining
requires physical prompt
belittles own work
transitions task-to-task well
Comments:
Teacher/Student Interactions:
tries to meet teacher expectations
seeks special attention from teacher
non-demanding manner in classroom
blames an accuses teacher
Comments:
Peer/Student Interactions:
has relationships with 1 or 2 peers
gives help to peers when needed
expresses prejudiced attitudes (explain)
seeks to be attached by peers
withdraws from group
Comments:
Part III: Please summarize other important behavior(s) or adjustments to instruction and curriculum notes during
the observation:
Observer
Title
Date