
Classroom Observation Sheet - 5-Minute Interval Sampling
School: ________________ Class: _______ Date: _________ Observer: _________
Time | Teacher Activity | Student Engagement (tally by gender)
| | Boys participating | Girls participating
---------|-----------------------------------|-------------------|-------------------
9:00-9:05| [ ] Lecture [ ] Demonstration| |||| | ||
| [ ] Q&A [ ] Group work | |
| [ ] Individual [ ] Assessment | |
| Notes: __________________________ | |
9:05-9:10| [ ] Lecture [ ] Demonstration| |||| | ||
| [ ] Q&A [ ] Group work | |
| [ ] Individual [ ] Assessment | |
| Notes: __________________________ | |
[continues for class duration]
Summary:
1. Most common teaching method: _____________________________________
2. Approximate time spent on:
- Teacher-centered activities: ____%
- Student-centered activities: ____%
3. Participation ratio (boys:girls): _______
4. Key observations about inclusion: ________________________________

Health Facility Observation Tool - Maternal Care Quality Assessment
Facility: _____________ Date: _________ Observer: _________
ANTENATAL CHECK-UP OBSERVATION
Arrival and Registration:
Patient arrived: 10:15 AM
Time until first contact with any staff member: 17 minutes
Registration process completed at: 10:45 AM
Waiting area conditions: Crowded, approximately 30 women waiting, only 12 seats
No fan working despite 38°C temperature
Provider-Patient Interaction:
Duration of consultation: 4 minutes 20 seconds
Privacy during consultation: [X] None [ ] Visual only [ ] Visual and auditory
Language used: Hindi (provider), Local dialect (patient)
Translation assistance: None provided despite apparent communication difficulties
Clinical Components Observed:
[X] Blood pressure checked
[X] Weight recorded
[ ] Abdomen palpated
[ ] Fetal heart rate checked
[ ] Iron supplements provided
[ ] Nutrition counseling provided
[ ] Danger signs explained
Interaction Quality:
Eye contact during consultation: Minimal, provider writing most of the time
Questions asked by provider: 3 (all closed-ended)
Questions asked by patient: 1 (appeared hesitant)
Response to patient question: Brief, without verification of understanding
Notable quotes:
Provider: "You people always come without your card. How can we help you?"
Patient: [silent nodding]


