Facilitator observation sheet
Circle or mark one support level for each action. Record what happened in this session—not what you think the learner can or cannot do.
Learner code (not a name): __________________
Date: __________________
| What happened | Independent | One prompt | Helped | Not tried |
|---|---|---|---|---|
| The learner chose and sent one message. | Mark Independent | Mark One prompt | Mark Helped | Mark Not tried |
| The learner named one thing that stays private. | Mark Independent | Mark One prompt | Mark Helped | Mark Not tried |
| The learner identified when to ask a trusted person. | Mark Independent | Mark One prompt | Mark Helped | Mark Not tried |
What the support levels mean
- Independent
- The learner did it without a cue after the activity began.
- One prompt
- One spoken, pictured, or pointed reminder helped.
- Helped
- The learner used more than one prompt or shared the action.
- Not tried
- The group did not reach it, or the learner declined or took a break.
Keep this individual sheet with your learner or program. Do not send it to AbleMakers. Never write a learner's full name, diagnosis, or private details here.