Child
Observer
Date completed
TEMPERAMENT
Place an X on each line, indicating the child's basic pattern of behavior. Then, do the same
thing on yourself, using a different colored pen.
Autonomy
Dependence
Independence
Activity Level
Very Active
Inactive, quiet
Social Preferences
Interacts with
many children
Prefers to interact
with one or two
Adaptability
Adapts easily
to change
Difficulty adapting
Persistence
Stays with a task
Leaves if distracted
Cooperation
Considers others
More aware of self
than others
Interaction preference
Adults
Children
color for child
Comments:
color for observer