Infant/Toddler Observation Forms
Your name: _____________________________ Date: _____________
Center Information
Name of the Center
Address of the Center
Type of Center
Check the type of center (more than one may apply)
Franchise center
Group day care
Infant/toddler
care only
Infants to
school-aged care
Preschool aged
care only
Campus or
university day
care
Family day care
Other?
Observation Verification
Time of arrival
Time of departure
Signature of early childhood
education teacher
Comments or questions from the
early childhood education teacher
regarding this student’s observation
Infant and/or Toddler Room Observation
Encouraging Communication and Social Interaction
Ages of Infants or toddlers
Number of infants of toddlers in the room
Number of care givers in the room
Name & Age of “Your” infant
For 30- 35 minutes, objectively record an infants or toddler’s interactions
with and responses to objects and caregivers. Include the infant or
toddler’s movements, sounds/language and facial expressions. Record a
minimum of five interactions with and responses to objects and caregivers.
Record of Observations (add additional paper as needed):
Interpreting behaviors or sounds. Observe and objectively record two
situations when a caregiver interpreted an infant or toddler’s behavior
and/or sounds.
Situation 1:
Situation 2: