3 YEAR OLD PRESCHOOL OBSERVATION
Date
Time
Name
First Name
Last Name
School
Age
Birthdate
Total Observation Time
Observer
Targeted Skills
LANGUAGE SKILLS
Uses 2-3 words
Talks with you in conversation
Says name when asked
Follows one step directions
Follows two step directions
Answers Yes/No questions
Answers simple what/where questions
Give Examples:
Back
Next
PRE-ACADEMIC SKILLS
Counts to 5
Understands the use of objects
Points to at least 2 colors
Give Examples:
SOCIAL SKILLS
Points to self in photo
Responds to greeting
Notices other children
Calms within 10 minutes of care giver leaving
SELF HELP
Puts on pullover shirt
Unzips/Zips jacket once started
Puts on shoes(does not have to be correct feet)
Gross Motor Skills
Walks up stairs alternating feet
Throws a ball a distance of 5 feet
Jumps with 2 feet forward 24"
Stand on 1 foot for 3 seconds
Fine Motor Skills
Cuts 4" with scissors
Imitates writing horizontal, vertical, and circular lines
Give Examples:
Your email
example@example.com
Submit
Should be Empty: