Play Observation Checklist
Observer:_______________ Play Setting:_______________________ Date:_____________
Approximate Child Age:___ Child Gender: M F Hand Preference: L R
Initiation of Play Observed
Yes No Comments / Questions Behavior
Child quickly engages in play
Child requires help in getting
started
Child needs encouragement
Child directs his/her own play
Child shows initiative or
curiosity
Child appears impulsive
Child initiates but appears
unable to stay with task
Energy Expanded in Play Observed
Yes No Comments / Questions Behavior
Child works at an even pace
Child pursues activites to the
point of tiring out
Child gains momentum as play
proceeds
Child’s movements are well
coordinated / goal directed
Child’s pace varies with activity
Play seems listless / lethargic
Concentration Observed
Yes No Comments / Questions......

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Title: The Observation Of A 5 Year Old Boy
Approximate Word Count: 2174
Approximate Pages: 9 (250 words per double-spaced page)

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