Inclusion For All™

Dedicated to including ALL people with special needs™

The Camp-For-All™ Information Center

The complete resource to help parents and professionals include ALL kids in summer camp

Provided by The Jewish Community Center of The Greater St. Paul Area 1375 St. Paul Ave., St. Paul, MN 55116

Camper Observation

DOCUMENTATION: Progress Notes

Day/Date_______________ Camper Name:

Goal(s): Facilitator:

Objective(s):

Activities(day schedule):

Note: if a specific relationship relates to a specific behavior mark with superscript # -if general comments made provide % of time related to day

Environment (weather, temp, setting %, social pattern, surroundings, position):

Behavior:

Affective (frustration level, expression of feelings, adjustment, manifestation (joy, guilt, pain, anger, fear))

Cognitive(following directions, completion of task, decision making, attention span, level independence, problem solving, articulation, symbols, memory, strategy, preference)

Social (initiating/receiving, peer directed, adult directed, cooperation, sharing, social etiquette, level of play (isolate, parallel, dyadic, group), appropriate subject, length of sustained social)

Physical (dress, posture, movement gross/fine motor, social distance, features)

Barriers (physical; cognitive; behavioral; environment)

Degree of supervision/assistance: Independent Partial participation Full

Clarify:

Personal/Questions

Signature/Date ____________________________________________

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