Date of Observation 
 *
Observer 
 *
Length 
 * (in minutes)
Teacher Observed 
 *
School (IPS#) 
 *
Grade Level 
 *
* required fields
  A) Procedure
  B) Groups
      i) Student Accountability
      ii) Teacher Accountability
      iii) Student Behavior
      iv) Formation / Randomly - Ability / Teacher Choice - Student Choice
  C) Flexible Furniture Arrangement
  D) Reward/Consequences
           

 
  A) Evidence of Existence
  B) Use before instruction
  C) Use during instruction
  D) Use after instruction
  E) Ease of access
  F) Student automatically use
  G) Appropriate use by students
  H) Quality
  I) Variety
  J) Differentiation
           

 
  A) Compacting: # of students
  B) Learning Centers: # of centers, # of students per center
  C) Tiered lessons
      i) All groups common generalization
      ii) Each group meaningful & challenging
      iii) Differentiated levels distinguishable
  D) Problem-based learning
  E) Flexible grouping: # of groups, # of students per group
  F) Independent study: # of students
  G) Contracts: # of students
  H) Cubing
      i) Differentiated
  I) Questioning Strategies
  Bloom's Taxonomy (check if used)        
  Taba (check if used)        
  Divergent Thinking by Williams (check if used)        
         

Teacher Behavior/Attitude
    
  A) Sage on stage: % of time
  B) Guide on the side: % of time
  (Sage + Guide must equal 100)