Last Revised Fall 2014
Fresno State
Communicative Disorders and Deaf Studies
Weekly Observation Form
Observation type: Intern assignment observation: ______
Mentor observation of intern: ______
1. Assignment Information (setting, location, consumers, etc):
2. Assignment Preparation (pre-conferencing with team interpreter/consumers, etc):
3. Environmental Factors (visibility, acoustics, use of referents, etc.):
4. Professional Conduct (professionalism, attitude, adherence to ethics, rapport with
others, teaming, etc.):
5. Message Production (fluency, cohesion, register, phrasing, processing,
additions/deletions/substitutions, etc):