Behavioral Observations Form

Social Skills and Rapport

Normal/Appropriate

Friendly and Cooperative

Immature for Age

Irritable/Poor Rapport

Very Uncooperative

Overly Polite or Formal

Normal Eye Contact

Poor Eye Contact

Normal Nonverbal Skills

Poor Nonverbal Skills

Unusual:

Language and Memory

Eng

O:

Sensorimotor

R

L

Normal

Poor Pencil Grip:

Messy Handwriting/Poor Spacing

Poor Visual-Perceptual

Piecemeal on Rey-O/VMI

Oral Overflow or Mirroring

Tics or Stereotypies:

Activity Level

Normal

Tired/Lethargic

Moderately Underactive

Moderately High Energy

Hyperactive

Loud or Lots of Noises

Out of Seat Often

Attention and Executive Functioning

Test Taking Approach and Work Habits

Unusual: