Literacy Instruction Observation Form

Literacy Instruction Observation Form
Use this form to record evidence from a literacy lesson observation, including instruction, student engagement, supports, and follow-up notes.
Observer and Observation Context
Observer Name
First NameLast Name
Observer Role / Title
Observation Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
School / Site Name
Classroom / Room Identifier
Teacher / Instructor Name
First NameLast Name
Grade Level
Subject / Literacy Block Observed
Observation Start Time
Hour Minutes
AM/PM Option
Observation End Time
Hour Minutes
AM/PM Option
Lesson Purpose and Instructional Planning
Lesson objective / learning target
Standards or skill focus addressed
Materials / texts used
Other
Brief description of the lesson segment observed
Was the objective clearly communicated to students?
Instructional Observation Ratings
Teacher Modeling

1
2
3
4
5
6
7
8
9
10
1 is Needs Improvement, 10 is Highly Effective
Explicit Instruction

1
2
3
4
5
6
7
8
9
10
1 is Needs Improvement, 10 is Highly Effective
Questioning Techniques

1
2
3
4
5
6
7
8
9
10
1 is Needs Improvement, 10 is Highly Effective
Pacing

1
2
3
4
5
6
7
8
9
10
1 is Too Slow, 10 is Appropriate
Student Participation

1
2
3
4
5
6
7
8
9
10
1 is Low, 10 is High
Comprehension Checks

1
2
3
4
5
6
7
8
9
10
1 is Limited, 10 is Frequent and Effective
Differentiation and Supports

1
2
3
4
5
6
7
8
9
10
1 is Minimal, 10 is Strong and Responsive
Classroom Management and Objective Alignment

1
2
3
4
5
6
7
8
9
10
1 is Weak, 10 is Strong
Student Literacy Behaviors
Student engagement

1
2
3
4
5
6
7
8
9
10
1 is Low, 10 is High
Oral reading performance
Other
Vocabulary use
Comprehension responses
Other
Writing output

1
2
3
4
5
6
7
8
9
10
1 is Limited, 10 is Strong
Collaboration and discussion
Other
Notable student behaviors, evidence, and individual/group needs
Rows Observed behavior Evidence Individual/group needs
Engagement
Oral reading
Vocabulary use
Comprehension response
Writing output
Collaboration/discussion
Independence
Feedback and Follow-Up
Strengths Observed
Areas for Improvement
Recommended Next Instructional Steps
Follow-Up Support Needed
Other
Overall Effectiveness Rating
Overall Observation Summary / Comments
Should be Empty:

Select theme:

Rows	Observed behavior	Evidence	Individual/group needs
Engagement
Oral reading
Vocabulary use
Comprehension response
Writing output
Collaboration/discussion
Independence

Literacy Instruction Observation Form

Observer and Observation Context

Lesson Purpose and Instructional Planning

Instructional Observation Ratings

Student Literacy Behaviors

Feedback and Follow-Up