Student Observation Form - New Mexico

STUDENT OBSERVATION FORM (SPED)
The student observation form must be completed by
a certified individual other than the student’s general
education teacher or special education teacher.
The purpose of this observation is to record behaviors in
areas where the student is exhibiting difficulties. Please complete and use back of page if needed.
STUDENT
________________GRADE____SCHOOL _____________
OBSERVED BY (full name)
TITLE
CLASSROOM (circle one) general education special education other
DATE
SUBJECT AREA OBSERVED # in Class
Based on this observation, rate the student on the following:
Work speed below average average above average
Activity level below average average above average
Listening below average average above average
Organization below average average above average
Reading below average average above average
Math below average average above average
Written Language below average average above average
Motivation below average average above average
Academic ability below average average above average
Check all that apply to this student:
___Volunteers information
___Stays on task
___Easily distracted
___Sleeps in class
___Inappropriate talking
___Desk not in order, messy
___Performs with group
___Delays starting task
___Overly dependent
___Answers when called on
___Movement (in seat)
___Movement (out of seat)
___Asks questions/curious
___Easily frustrated
___Finishes what is started
___Elaborates/discusses in detail
___Other
D
escribe Classroom Management used
Relevant Classroom Behavior
Relationship of Behavior to Functioning
Attention Skills
Expressive Skills/Comprehension
Independent work
Problem Solving/Social Skills
Problem behaviors to target
______________________________________________________________________________________
RoswellIndependent SchoolDistrict:SAT/504 Revised2010 SPEDStud
e
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