Student ADHD Classroom Observation Form
Complete this form to document structured classroom observations of a student's attention, engagement, and behavior during a class period.
Student Name and Grade/Class/Period
*
Observer Name and Role
*
Observation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Observation Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Observation End Time
*
Hour Minutes
AM
PM
AM/PM Option
Observation Duration (calculated)
Attention / Focus Rating
*
1
2
3
4
5
Engagement / Participation Rating
*
1
2
3
4
5
Behavioral Notes (On-task, Off-task, Environment, Supports)
Follow-up Recommendation (if needed)
Submit Observation
Should be Empty: