Play Leader Contact Session Form
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Use this form to send me an email about today's activity. You cannot type directly on this page. Therefore, this is what you must do: You must be using Netscape Communicator for this to work. Netscape communicator is on the machines at the Rutgers labs (eg at Records Hall)
1: From the FILE menu choose EDIT PAGE
Once you are in edit page mode you can type all the information you need to type on that page.
2. After you finish typing in all the needed information choose from the FILE menu SEND PAGE. It will bring up a blank email form that flashes by quickly and then gets placed on the bottom of the screen with the words Play Leader. Click on that to bring up the email form. Then change the subject from
Play Leader Contact Session Form to Activity Name, Kid ID# Date eg Firefighter Frank, 2003, 02/25/98. In the TO: field type yepstein@rci.rutgers.edu Then just click on the send button and the message will be sent.
Leader's First name
Last name
Home Phone
Enter the date of today's Session :
Time of day when session started:
Time of day when session ended:
Information about the child you played with
Date of birth
Sex: __ Male __Female
Child's ID number:
Describe the mood of the child when you began to work with him or her:
Describe any physical conditions that apply: Here are some examples.
Today the child:
had a cold; had to go to the bathroom; looked sleepy; had trouble concentrating
Now Please describe the physical conditions that apply to your child today.
What was the name of today's activity?
How did you begin this activity?
Did you lay out the materials?
What was your opening line?
How did you ensure that the child made connections between his/her remembered experiences and the current experience?
Your task is to help the child gain access to her/his imagery storehouse, tell you about it, and see the connection between that experience and the current one. An example is the Fire Chief. "Did you ever see a fire chief? Tell me about it. Did you see him on TV? What was he wearing? What was he doing? Does this hat here help you remember about that fire chief? Does what you remember about the fire chief help you remember what to do now when you are playing a fire chief?"
Now describe what you did to make this happen:
How did you model describing your behavior and your internal thoughts? What did you say and do?
How did you encourage the child to describe his/her behavior and internal thoughts? What did you say and do?
In describing his/her behavior and internal thoughts, what did the child say and do?
How did you describe your strategy in accomplishing the task? What did you say and do?
How did you encourage the child to describe his/her strategy inaccomplishing the task? What did the child say and do?
How did you get the child to "suspend disbelief" and buy into the situation?
In getting the child to suspend disbelief, how did you present the situation to the child?
In getting the child to suspend disbelief how did you behave as a model?
In getting the child to suspend disbelief, how did you coach the child? What did you say and what did you do?
Evaluate how well the child was able to suspend disbelief? What data did you observe to lead you to this assessment?
Please describe the ways in which your child acted imaginatively today.
Please describe the ways in which your child acted creatively today.
The outcome of any play session is a result of the interaction of the child, the leader, the activity, and the materials. Please try to assess the impact of each of these variables individually and in interaction in determining the outcome of today's session.
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SEND EMAIL TO DR. ROSENBERG * SEND EMAIL TO DR. EPSTEIN
Copyright Helane S. Rosenberg, Ph.D. and Yakov M. Epstein, Ph.D.
Last revised: February 14, 1998