Age
Instructional
Interpretation (Draw
conclusions, evaluate, and
provide a possible rationale for
what was observed.)
Put an X for items you see the child perform regularly. Put N for items where there is
no opportunity to observe. Leave all other items blank.
Developmental Domain: (Social Competence)
Item
Evidence
Dates
11-12-14
11-12-14
11-12-14
11-12-14
11-12-14
11-12-14
*Create the checklist that is provided in the book, which is based on the developmental
domain that you have chosen for the observation.
*For example, look at the checklist in the text for self-esteem, or emotional development.
Complete the items as listed.
*Refer to page 79 and 118 for examples.
1. Associative play
2. Cooperative play
Activities to Help:
Have the children play a game where all the children get a turn in a group and you must pay
attention to each other.
Have the children using the same materials and make a big picture with different shapes and sizes.
Rating Scale
Name Child R
Date 11-12-14
Time 10:00am.-12:00
Behavior: Always
Often
Sometimes
Seldom
Sometime
Often
Never
Often
Sometime