Child Observation Form - B Certificate III - Samuel

This assignment presents a detailed child observation form completed for a 6-year-old named Samuel as part of a Certificate III in Early Childhood Education. The form assesses Samuel's interaction skills, language skills, and play behavior through direct observation and parent feedback. The observation covers aspects such as Samuel's attention, initiation and response to parents, and interaction style (passive). Language skills are evaluated through gestures, single and combined word usage, and stage of communication. The play section assesses Samuel's play stage. Parent feedback provides anecdotal information about Samuel's personality and behavior. Overall comments summarize Samuel's active nature, quick learning abilities, communication skills, and strong attachment to his parents. The form highlights Samuel's strengths in communication and his connection with his parents, reflecting his morality and potential challenges with strangers.

Child Observation Form - B
Certificate III in Early Childhood Education
Assessment Workbook 4
Child’s Name: Samuel
Age: 6 years
Use this form to record your interaction with children 2 years old and above. Follow the
instructions below:
1. With the assistance of the parent, interact with the child.
2. Gather more information from the parent’s own experiences with the child
3. Record relevant stories or anecdotal information from the parent
4. Use the form below to document your observations:
Observation Guide
Frequency
Comments
Never
Rarely
Sometimes
Often
INTERACTION SKILLS
Child looks at the parent × He was quite person
Child shifts attention from an object or
person to the parent
(demonstrates joint attention)
× He was attentively doing his
work
Child initiates to the parent
(verbally or non-verbally) × He seems to be quite in action
Child responds to the parent
(verbally or non-verbally) × Child is attached to his parent
Child’s interaction style:
Social | Reluctant |× Passive | Own Agenda
Comments:
From the observation it was noted that child interaction is passive as he always remain quiet and
only interact with his parents.
LANGUAGE SKILLS
Gestures:
a) Child uses a few gestures (e.g.
showing, waving bye-bye) × He generally use by gesture
when he leave with his parents
b) Child uses lots of gestures,
including pointing × He uses verbal communication
TEMPLATES BY:

Child Observation Form - B
Certificate III in Early Childhood Education
Assessment Workbook 4
c) Child imitates gestures × Sometime he try to copy gestures
used by other children
Single words:
a) Child uses a few single words × He speaks in full sentence
b) Child uses lots of single words × He do not use single words
c) Child imitates single words × He try to learn from other
Single words combined with gestures:
a) Child uses complementary gestures
(a word + a gesture that represents
the same thing. For example, child
says “Daddy” when pointing to his
dad.)
× He is good in communication
skills
b) Child uses supplementary gestures
(a word + a gesture that adds new
information to the message. For
example, child says “Daddy” and
points to the ball he wants.)
× Sometime he uses different
gestures depending on his mood
Word combinations:
a) Child uses a few word
combinations × He do not speak in single words.
b) Child uses lots of word
combinations × This showed his communication
skill
c) Child imitates word combinations ×
Sometime, it is observe that he
learn different words from other
and try to speak.
Child’s stage of communication:
× Discoverer | Communicator | First Words User | Combiner
Comments:
It was noted that Samuel is good in communication skill and easily express his feeling verbal
communication.
PLAY
Child’s stage of play:
Functional Play| ×Constructive Play | Pretend Play
TEMPLATES BY:

Child Observation Form - B
Certificate III in Early Childhood Education
Assessment Workbook 4
Comments:
Samuel is sincere boy who is noted to be good in communication and connected with his
parents.
PARENT FEEDBACK
Provide examples of relevant stories or anecdotal information the child’s parent shared with you
about the child:
Parents shared that Samuel is related to his grandfather behaviour who was also a calm and
sincere person. However, Samuel sometime have problem with dealing stranger person as he
has once faced interaction with a person who has tried to harm him for the sake of money.
OVERALL COMMENTS:
Overall, from the observation, it can be said that Samuel is an active child who love to play and
draw with friend. He is a quick learner and have communication skills. He is highly attached
with his parents which reflects his morality.
TEMPLATES BY: