This week

A–B–C OBSERVATION FORM

Date: 1/10/20XX Student: David B. Grade: 5 Class/Teacher: Lang. Arts /Mrs. Lehrer Observer: P. Chinn

Instructional Activity: Large-group work on nouns, independent writing assignment Other relevant information: “A” is Angelina

Time Antecedent Behavior Consequences 9:20 Class starts. Mrs. L

previews noun lesson. 1. D is attentive, listens

9:25 Noun lesson, possessive and plural possessives

2. D is attentive, listens

9:40 Practice w/ nouns on SmartBoard.

3. D participates, gets 2 right.

Mrs. L prompts and D gets answer right.

4. Requests help.

9:55 Mrs. L assigns inde- pendent work.

5. D starts working

9:56 6. D out of seat to pencil sharpener, walks around entire room to return to desk.

9:59 7. D works.

10:00 8. Turns, whispers to A. A smiles and whispers back.

Mrs. L asks if he needs help. D says “no”.

10:01 9. D out of seat to throw something away. Takes 2 min. to return to seat.

Mrs. L reminds him to get to work.

10:03 10. D works.

10:05 11. D out of seat.

10:06 Mrs. L asks students to put up materials and get ready for art.

12. D complies.