Play Observation Checklist printable pdf download

Play Observation Checklist

Observer:_______________

Play Setting:_______________________

Date:_____________

Approximate Child Age:___

Child Gender: M F

Hand Preference: L R

Initiation of Play

Observed

Comments / Questions Behavior

Yes

Child quickly engages in play

Child requires help in getting

started

Child needs encouragement

Child directs his/her own play

Child shows initiative or

curiosity

Child appears impulsive

Child initiates but appears

unable to stay with task

Energy Expanded in Play

Observed

Comments / Questions Behavior

Yes

Child works at an even pace

Child pursues activites to the

point of tiring out

Child gains momentum as play

proceeds

Child’s movements are well

coordinated / goal directed

Child’s pace varies with activity

Play seems listless / lethargic

Concentration

Observed

Comments / Questions Behavior

Yes

Child maintains consistent

attention to task

Child is easily distracted by

miscellaneous noise

Child sings, hums, or talks to

self

Play Observation Checklist