Teacher-Child Interaction Observation Record Form
Use this form to document key details of observed teacher-child interactions in the classroom. Please complete all fields to ensure accurate and useful observation records.
Observer Name
*
First Name
Last Name
Observation Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Classroom / Teacher Observed
*
Child or Group Observed
*
Type of Interaction Observed
*
Please Select
Instructional
Social/Emotional
Behavior Guidance
Play Facilitation
Routine/Transition
Other
Interaction Setting
*
Please Select
Whole Group
Small Group
One-on-One
Free Play
Transition
Other
Observed Teacher Behaviors
Gave clear instructions
Provided encouragement
Modeled skills
Asked open-ended questions
Supported peer interactions
Other
Observed Child Responses
Engaged/Participated
Asked questions
Initiated interaction
Expressed emotions
Needed redirection
Other
Brief Description of Interaction
*
Additional Notes (optional)
Submit Observation
Should be Empty: