Teacher / To be used by evaluators or coaches as a data collection tool during observations of instruction.
Record evidence of activity associated with the rubric indicators.
Grade Level(s)
Subject(s)
Evaluator or Coach
Date
Time in / Time out
INSTRUCTION
Standards and Objectives
Rating or
Check if Observed
/ Evidence / Notes
Motivating Students
Rating or
Check if Observed
/ Evidence / Notes
Presenting Instructional Content
Rating or
Check if Observed
/ Evidence / Notes
Lesson Structure and Pacing
Rating or
Check if Observed
/ Evidence / Notes
Page 1 of 6 OBSERVATION DATA (Long Form)
Activities and MaterialsRating or
Check if Observed
/ Evidence / Notes
Questioning
Rating or
Check if Observed
/ Evidence / Notes
Academic Feedback
Rating or
Check if Observed
/ Evidence / Notes
Grouping Students
Rating or
Check if Observed
/ Evidence / Notes
Page 2 of 6 OBSERVATION DATA (Long Form)
Teacher Content KnowledgeRating or
Check if Observed
/ Evidence / Notes
Teacher Knowledge of Students
Rating or
Check if Observed
/ Evidence / Notes
Thinking
Rating or
Check if Observed
/ Evidence / Notes
Problem-Solving
Rating or
Check if Observed
/ Evidence / Notes
Page 3 of 6 OBSERVATION DATA (Long Form)
PLANNINGInstructional Plans
Rating or
Check if Observed
/ Evidence / Notes
Student Work
Rating or
Check if Observed
/ Evidence / Notes
Assessment
Rating or
Check if Observed
/ Evidence / Notes
Page 4 of 6 OBSERVATION DATA (Long Form)
Expectations
Rating or
Check if Observed
/ Evidence / Notes
Managing Student Behavior
Rating or
Check if Observed
/ Evidence / Notes
Environment
Rating or
Check if Observed
/ Evidence / Notes
Respectful Culture
Rating or
Check if Observed
/ Evidence / Notes
Page 5 of 6 OBSERVATION DATA (Long Form)
Professional Growth and Learning
Rating or
Check if Observed
/ Evidence / Notes
Use of Data
Rating or
Check if Observed
/ Evidence / Notes
School and Community Involvement
Rating or
Check if Observed
/ Evidence / Notes
Leadership
Rating or
Check if Observed
/ Evidence / Notes
Page 6 of 6 OBSERVATION DATA (Long Form)
1