Student SEL Observation Form
Use this form to record and evaluate a student's social-emotional learning behaviors during class or school activities.
Observer Name
*
First Name
Last Name
Student Name
*
First Name
Last Name
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Class or Activity Observed
*
Self-Awareness
*
Rarely
1
2
3
4
Consistently
5
1 is Rarely, 5 is Consistently
Self-Management
*
Rarely
1
2
3
4
Consistently
5
1 is Rarely, 5 is Consistently
Social Awareness
*
Rarely
1
2
3
4
Consistently
5
1 is Rarely, 5 is Consistently
Relationship Skills
*
Rarely
1
2
3
4
Consistently
5
1 is Rarely, 5 is Consistently
Responsible Decision-Making
*
Rarely
1
2
3
4
Consistently
5
1 is Rarely, 5 is Consistently
Additional Notes or Observations
Submit Observation
Should be Empty: