5 YEAR OLD PRESCHOOL OBSERVATION
Date
Time
Name
First Name
Last Name
School
Age
Birthdate
Total Observation Time
Observer
Targeted Skills
LANGUAGE SKILLS
Tells a story with 2 events
Answers simple questions about a book read to them.
Keeps conversation going for 3 exchanges.
Give Examples:
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PRE-ACADEMIC SKILLS
Counts to 10
Identify shapes(circle, square, triangle)
Identifies some letters in their name.
Names some numbers between 1-5 when asked.
Understands the concept of rhyming.
Sustains attention for 5-10 minutes during activity.
Give Examples:
SOCIAL SKILLS
States how they are feeling.
Follows the rules in a game or takes turns.
Give Examples:
SELF HELP
Uses the bathroom on their own.
Latches a zipper.
Dresses completely on their own.
Gross Motor Skills
Able to gallop.
Fine Motor Skills
Starting to print.
Colors within lines.
Cuts out a square.
Copies a square.
Give Examples:
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