Classroom Observation Report

*To be completed by someone other than the student’s general education teacher.

Student Name: ______

School District: ______Date of Observation:______

Observer: ______Time Started:______Time Ended:______

Teacher Observed:______Class size: ______

Where did the student sit? ______

Please briefly describe the type of class and lesson presented:

  Reading , Math, Written Expression, Social Studies/Science, other______

  Lesson:______

Academics Part I: 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:

  Problems reading orally

  Problems with word attack /decoding

  Loses place easily

  Reads fluently and accurately

Comments:______

Written Expression:

  Difficulties with spelling

  Difficulties with handwriting

Comments:______

Math:

  Problems with number recognition

  Problems solving word problems

  Poor understanding of money values

  Problems with math facts

Comments:______

Listening Comprehension:

  Problems following verbal instructions

  Answers questions inappropriately

  Needs questions repeated

Comments:______

Oral Expression and Speech:

  Problems expressing thought and ideas

  Problems speaking clearly

  Poor sentence structure

  Problems with grammar

  Articulation errors

  Stuttering

Comments:______

Visual Motor Coordination and Memory:

  Problems with paper/pencil tasks

  Problems copying from the board

  Visual/ Auditory memory concerns

  Poor retention of material

Comments:______

Behavior Part II: Based upon your observation, please place a check mark by the items listed that describe the student in comparison to other students in the same grade.

Classroom skills:

  Poor organization of classroom material

  Poor listening in class

  Poor note taking

  Poor class participation

  Called on in class and answered incorrectly

  Needed teacher prompting to answer correctly

  Not prepared for class with necessary materials

  Participated in class

  Raised hand in class to participate

  Called on in class and answered correctly

Comments:______

Behavior skills (during instruction time):

  Trouble following directions

  Problems staying on task

  Difficulty maintaining self-control

  Aggressive behavior

  Impulsive behavior

  Wastes class time

  Fidgeting with items

  Difficulty sitting in chair

  Out of desk often

Comments:______

Behavior skills (during work time):

  Initiates tasks without help

  Demands help in order to start

  Belittles own work

  Requests assistance to start tasks

  Actively refuses to do task

  Needs verbal encouragement

  Seeks constant reassurance

  Complains before starting tasks

  Passively retreats from tasks

  Becomes easily frustrated

  Problems with homework completion

  Poor independent study skills

  Completes tasks requested

  Good independent study skills

  Problems completing class-work

  Works well independently

Comments:______

Teacher/Student interaction:

  Seeks teacher attention

  Non-demanding manner in the classroom

  Needs teacher proximity

  Verbally/Physically abuses teacher

  Rejects teacher support

  Accepts teacher support when needed

Comments:______

Peer/Student Interaction:

  Poor interaction with peers

  Poor participating in a group

  Gives help to peers when needed

  Withdraws from group

  Shared material appropriately

  Accepts peer help when needed

  Physically/Verbally provokes peers

  Participates in group activities

  Disrupts group activities

  Works well in a group activity

Comments:______

Part II: Please summarize other important behavior(s) noted during the observation:

______

(observer) (title) (date)