Child Play Activity Assessment
Evaluate and record observations of a child's play activity to support developmental insights.
Child's Full Name
*
First Name
Last Name
Child's Age
*
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Observer's Full Name
*
First Name
Last Name
Relationship to Child
*
Please Select
Parent/Guardian
Teacher
Therapist
Other
Type of Play Activity
*
Please Select
Free Play
Structured Play
Group Play
Solitary Play
Outdoor Play
Indoor Play
Other
Please rate the following aspects of the child's play activity:
*
Rows
Not Observed
Rarely
Sometimes
Often
Always
Shows creativity
1
2
3
4
5
Interacts with peers
6
7
8
9
10
Follows rules/instructions
11
12
13
14
15
Demonstrates problem-solving
16
17
18
19
20
Shows enjoyment
21
22
23
24
25
Maintains attention
26
27
28
29
30
How engaged was the child during the activity?
*
1
2
3
4
5
Did the child require adult assistance during play?
*
No assistance needed
Occasional prompts
Frequent assistance
Were there any notable behaviors or comments during the play activity? (Optional)
Submit Assessment
Should be Empty: