Used alternately by two people. Each person keeps a record. It can be spoken, drawn, or shown to a companion; an adult can also write it for them.
Download PDF · Download PDF (Chinese)Children and companions fill it out together · Only one small step is explained at a time
I'll explain it; you can try it out
Date: ________ I: ________ Companion: ________
I want to teach you this step
□ Maze □ Small animals □ Video □ Other: ________
First listen to me, then ask you to try
I won't use the AI's original words for now; I'll explain it or draw it out.
The companion tries first by themselves. I won't take the mouse for now.
I'll rephrase this sentence
Change it, and try again
□ Change the name □ Change the position □ Change the animal □ Change a scene
Now exchange, and listen to what the companion teaches me.
Adult observation page · Record one behavior without labeling the child
What just happened
Activity date: ________ Observer: ________
| Learning action | Support Level | Actual Statement or Action |
|---|---|---|
| Clear Instructions and Expected Results | □ Independent □ After Prompt □ Adult Proxy □ Not Observed | ________________ ________________ |
| Explain Then Let Partner Operate | □ Independent □ After Prompt □ Adult Proxy □ Not Observed | ________________ ________________ |
| Check and Correct One Sentence | □ Independent □ After Prompt □ Adult Proxy □ Not Observed | ________________ ________________ |
| Check Again in a Different Context | □ Independent □ After Prompt □ Adult Proxy □ Not Observed | ________________ ________________ |
Who Helped Which Part
Keep One Place for Modification
Next Small Agreement
□ Will Continue □ Want to Change Direction □ Not Now □ No Question
If the child is willing, try a similar task after 3–7 days or next time. No participation is recorded as ‘Not Observed’; this card is not used to prove the effect of a teaching method.