CLASSROOM OBSERVATION REPORT
Student Name:
BENTON COUNTY SCHOOL DISTRICT
___________________________________ Grade: ____________ Date: _____________
Observer Name: _________________________________ Position on Team: ______________________
Regular Teacher Observed: ___________________________ Class Observed: ________________________
Student was observed in
( )Large Group or ( )Small Group or ( ) both Small & Large Group
presented was at ( ) grade level or ( ) instructional level.
Student was seated
nearest or ( ) farthest from the teacher.
Instructions were
written or ( ) both verbal and written.
Academic material
()
( ) verbal or ( )
Social &/or Behavior (discuss any social and/or behavior challenges or strengths - communication skills, personality, actions,
etc…)
Attention/Alertness (discuss any attention/alertness challenges or strengths in terms of specific types of activities or learning
styles and time frames as applicable)
Please describe any remarks, comments, or gestures made specifically to the student by an adult or another student?
In objective format, state the skills the child needed
to perform during today’s observation.
Indicate the child’s skill
level by + adequate or
- inadequate.
Give specific behaviors of the child as needed
to clarify and/or support observation.
Summarize observation and explain the relationship of observed behavior to academic functioning (use
back of page if needed).
Comments:
Observer’s Signature: _____________________________ Date: __________________