Formative Assessment Checklist
Use this checklist to record formative assessment observations efficiently and consistently.
Observer Name
*
First Name
Last Name
Date of Observation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student/Subject Observed
*
Observed Behaviors (select all that apply)
Participates actively
Listens attentively
Asks relevant questions
Works collaboratively
Demonstrates understanding
Other
Level of Engagement
Highly engaged
Moderately engaged
Minimally engaged
Not engaged
Demonstrated Understanding
Not at all
1
2
3
4
Fully
5
1 is Not at all, 5 is Fully
Quality of Work
1
2
3
4
5
Areas for Growth (select all that apply)
Needs more practice
Requires support with instructions
Struggles with collaboration
Needs to ask for help
Other
Additional Comments
Submit Observation
Should be Empty: