Observe a child between three and five years of age. Your total observation time should be at least one hour but may be spread over several visits. Look for the signs of development listed below and on the following pages. Record your findings by placing a check mark in the appropriate column. If you had no opportunity to observe a particular behavior, write “Unable to observe” in the “Comments” column. Also use this column to record any additional details you wish to remember. You should be completing this document while in the field or shortly after your observation. Points will be deducted if copious notes are not proved in your submission.
Key to Responses
Yes—Skill observed No—Child lacked this skill or characteristic
Site: ________________________________________________________
Date(s) of Observation(s): ____________________________
Child’s First Name: ____________________________________
Age in Years: _________________________________________
Observation
C-3 Checklist: Signs of Development
Physical Development
YES
NO
COMMENTS
1. Walks down stairs. (Describe how.)
2. Easily changes directions while running.
3. Throws a ball. (Describe how.)
4. Catches a ball. (Describe how.)
5. Skips.
6. Stacks seven or more blocks. (Note number.)
7. Draws recognizable shapes.
8. Draws recognizable pictures.
9. Draws some alphabet letters.
10. Cuts with scissors.
11. Buttons clothing.
Intellectual Development
YES
NO
Comments
Demonstrates imagination and symbolic thought (for example, uses a stuffed animal
Sorts objects by one variable, such as color.
Groups objects by size.
Counts by rote. (Note highest number recited in sequence.)
Counts three objects accurately.
Applies grammar rules, even when inappropriate (may say “foots” or “breaked”).
Uses most grammar rules correctly
Groups objects by size.
Counts by rote. (Note highest number)
Emotional Development
YES
NO
COMMENTS
Shows some self-control (for example, says “I want that” instead of grabbing toy from another child).
Shows some empathy for others (for example, comforts another child who is sad)
Shows pride in abilities by demonstrating them to others.
Willingly helps with chores
Social Development
YES
NO
COMMENTS
Plays in groups of two or three.
Plays in groups of four to eight.
Joins in activities suggested by others.
Suggests activities.
Plays cooperatively with others.
Refers to one or more “best friends.”
Shows awareness of differences between boys and girls
Ethical Development
YES
NO
COMMENTS
Indicates that certain actions result in reward or punishment
Shows sign of guilt after misbehavior
Tells adult when someone breaks a rule
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