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    Examiner's Notes: Write Down Your Notes, Descriptions and Observation On The Columns Provided

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    Melodie Tabuada
    The document provides a form for examiners to take notes on child assessments. It includes sections to document the child's background, family environment, parents' stimulating activities, home environment, and other notes. Examiners can record details like the child and family's health, economic conditions, types of interaction and activities parents engage in, facilities in the home, and any other relevant information. The form appears to be used to gather a holistic picture of factors that could influence a child's development to inform their assessment.

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    Examiner's Notes: Write Down Your Notes, Descriptions and Observation On The Columns Provided

    Uploaded by

    Melodie Tabuada
    153 views1 page
    The document provides a form for examiners to take notes on child assessments. It includes sections to document the child's background, family environment, parents' stimulating activities, home environment, and other notes. Examiners can record details like the child and family's health, economic conditions, types of interaction and activities parents engage in, facilities in the home, and any other relevant information. The form appears to be used to gather a holistic picture of factors that could influence a child's development to inform their assessment.

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    The document provides a form for examiners to take notes on child assessments. It includes sections to document the child's background, family environment, parents' stimulating activities, home environment, and other notes. Examiners can record details like the child and family's health, economic conditions, types of interaction and activities parents engage in, facilities in the home, and any other relevant information. The form appears to be used to gather a holistic picture of factors that could influence a child's development to inform their assessment.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    153 views1 page

    Examiner's Notes: Write Down Your Notes, Descriptions and Observation On The Columns Provided

    Uploaded by

    Melodie Tabuada
    The document provides a form for examiners to take notes on child assessments. It includes sections to document the child's background, family environment, parents' stimulating activities, home environment, and other notes. Examiners can record details like the child and family's health, economic conditions, types of interaction and activities parents engage in, facilities in the home, and any other relevant information. The form appears to be used to gather a holistic picture of factors that could influence a child's development to inform their assessment.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Examiner’s Notes

    Write down your notes, descriptions and observation on the columns provided.

    Name of examiner :__________________ Name of examiner :__________________ Name of examiner :__________________


    Date administered : __________________ Date administered : __________________ Date administered : __________________
    Place of test : ______________________ Place of test : ______________________ Place of test : ______________________

    Child’s background (ex. Child’s background (ex. Child’s background (ex.


    behavior/health/etc.) behavior/health/etc.) behavior/health/etc.)

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    Family environment (ex. Health of family Family environment (ex. Health of family Family environment (ex. Health of family
    members/family problems/ economic members/family problems/ economic members/family problems/ economic
    conditions/etc.) conditions/etc.) conditions/etc.)
    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    Parents’ stimulating activities for the child Parents’ stimulating activities for the child Parents’ stimulating activities for the child
    (What are the activities/things that the (What are the activities/things that the (What are the activities/things that the
    parents do to help stimulate the child’s parents do to help stimulate the child’s parents do to help stimulate the child’s
    development?) develop ment?) develop ment?)
    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    Home environment (ex. Facilities/type of Home environment (ex. Facilities/type of Home environment (ex. Facilities/type of
    house/ household items/interaction/etc.) house/ household items/interaction/etc.) house/ household items/interaction/etc.)

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    Others Others Others

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    _______________________________ _______________________________ _______________________________

    Early Childhood Care and Development (ECCD) Checklist, Child’s Record 2 17

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