Alyssia Harper 3/29/14 Shape Up-Square Childs name: Observers name: Teachers name Date:

Arrival 1-Not at all Appropriately engaged with adults Appropriately engaged with peers Able to operate independently This is a good time of day Other notes: Parents notes: 2 3 4 5-Completely

Free Play 1-Not at all Appropriately engages with materials Socializes with peers Takes the lead during free play Jumps from one activity to the next quickly Other notes: Parents notes: 2 3 4 5- Completely

Structured Activity 1-Not at all Works better in groups Follow directions Able to complete project in timely manner Able to focus for the duration of activity Other notes: Parents notes: 2 3 4 5-Completely

Meal/Snacks 1-Not at all Can feed themselves appropriately Able to sit in seat and eat what is provided Engages peers appropriately Helps clean up area Food Allergies: 2 3 4 5-Completely

Other notes: Parents notes:

Outdoor Activities 1-Not at all Able to follow directions in outdoor setting Enjoys the outdoors Engages peers in outdoor games Can transition back to classroom setting Outdoor Allergies: 2 3 4 5-Completely

Other notes: Parents notes:

Personal Hygiene 1-Not at all Can use restroom independently Can dress oneself completely Appropriately tells someone that they need to use the restroom Engages peers during wash up time 2 3 4 5-Completely

Other notes: Parents notes: Movement/Music Time

1-Not at all Is able to handle the movement and noise well Engages peers during movements and/or singing Is able to follow along with the movement and/or song Enjoys this time of the day Other notes: Parents notes:

5-Completely

Departure 1-Not at all Able to identify personal belongings Engages parents/guardians appropriately Able to relate info learned today to parents/guardians Is this usually an enjoyable time of day Other notes: Parents notes: 2 3 4 5-Completely