Child Observation Data Form Walkthrough

Use this handy walkthrough to familiarize yourself with the Child Observation Data Form, used to record a child’s performance data.

Demographic information for the child and family

Name of developmental area

Child’s name

Note Key lists options to describe child’s performance: C, M, Q, and R

Score Key lists scoring options: 2, 1A, 1I, 1AI, and 0

Goals and objectives appear below each strand

Shading highlights the strands for each area

Column for marking AEPS-3 items that are IFSP/IEPs or other learning goals

Child’s numerical performance data

| To calculate Area Raw Score: Add the 2 and 1 scores in the Score column for the specific test date.

To calculate Area Percent Score: Divide the Area Raw Score by the Area Raw Score Possible, then multiply by 100. | | --- | --- | --- | --- | | Test date | | | | | Area Raw Score | | | | | Area Raw Score Possible | 62 | 62 | 62 | | Area Percent Score | | | |

Area Raw Score Possible is the number of points possible in the area. In the Fine Motor area, the Area Raw Score Possible is 62, as shown on the form (31 items x 2 points per item).

Area Percent Score line is the total percent the child scored in relation to the possible score in the area.

Test date and examiner’s name

Space for comments related to the test area. Comments should provide critical information about the circumstances under which a child performed certain skills.

Summary graph by area to review child’s results

Space to record test dates

Space to shade in percent scores by area and date to inform review of the child’s performance and identify both areas of improvement and areas for intervention