<p>Behavior Management Observation Form Technique Result Technique Comments Displays, teaches, Asks another models rules and student to explain procedures already expectations and in place directions Creates Uses clarification, opportunities for redirection student to feel capable, connected, and contributing Refers to, cites and Asks what or how reteaches rules and questions (“How procedures already might you solve in place that math problem”) Positions self in Removes room to provide distractions, visibility, proximity, reinforcement and mobility Verbalizes positive Gives choices reinforcement and encouragement Identifies, labels, Whispers in and acknowledges student’s ear feeling Uses name in lesson Gives gentle reprimand Uses the “look” Uses stern voice Asks question to Takes student student near aside inappropriate behaving student Moves closer to Turns lights off student Briefly touches Gives student’s shoulder or consequences elbow Uses dues, voice, Uses school intonation to foster school/district student self- behavior plan regulation Uses non-verbal Removes student signals from room Places notes on Moves student to desk another part of room Uses wait time Uses daily contract, notes, and/or phone call to parents Uses the “I” Other statement Uses “broken record”</p><p>1st Observation setting: ______Date: ______</p><p>2nd Observation setting: ______Date: ______</p>