FIA DE EXAMINARE COMPLEX

fiei_______________________
I EVOLUIE LOGOPEDIC
de____________________

Nr.
ntocmit
Data

emiterii___________________
I.

Date generale
Numele i prenumele____________________________
data naterii____________________
vrsta___________
locul naterii__________________________________________
adresa_________________________________________________
coala________________
clasa___________
nvtor_______________________________.

II.

Date familiale
Numele
tatlui___________________________vrsta_____________studii______________
______________________
locul de munc__________________funcia_________________
Numele
mamei__________________________vrsta______________studii______________
______________________
locul de munc__________________funcia_________________ starea
material_________.
Starea locuinei________________________________________ numrul
frailor_____ al ctelea copil este______________. Relaiile ntre
prini__________________________________Atitudinea familiei fa de
logopat______________________________________________________________
____________________________________________________________________
______________
Tulburrile de limbaj existente n famillie
____________________________________________________________________
____________________________________________________________________
______________

III.

Examen psihofizic

Sarcina___________________________________naterea_______________________
____
greutatea________________________alimentaia_______________________________
____
Antecedente pre-peri i
postnatale________________________________________________
_______________________________________________________________________
_______________________________________________________________________
________
Antecedente
colaterale_________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
________
Inteligena_____________________________________________________________
______
Memoria_______________________________________________________________
_____
Imaginaia_____________________________________________________________
______
Atenia________________________________________________________________
_____
Afectivitatea___________________________________________________________
______
Voina_________________________________________________________________
_____
Lateralitatea___________________________________________________________
______
Comportamentul_______________________________________________________
_ -n
familie__________________________________________________________________
_ -n
colectiv_________________________________________________________________
_ Trsturi de personalitate (pozitive,
negative)_______________________________________
_______________________________________________________________________
_______________________________________________________________________
________
IV. Examen logopedic :

a. Integritatea anatomo-funcional a aparatului fonoarticulator

aparatul
respirator_________________________________________________________
particulariti fonatorii (voce, mutaie vocal, puritatea
vocii)___________________________________________________________________
___________________
-aparatul
articulator___________________________________________________________
b.Sistemul labio-comisural
aparatul
dentar_____________________________________________________________
maxilarele_______________________________________________________________
__
limba___________________________________________________________________
__ -palatul
dur__________________________________________________________________
omuorul________________________________________________________________
___ -cavitatea
nazal_____________________________________________________________
c. Funcia auditiv de ansamblu:
acuitatea
auditiv____________________________________________________________ controlul auditiv al
vorbirii____________________________________________________ - autocontrolul
auditiv al vorbirii_________________________________________________
d. Apariia tulburrilor de limbaj
_________________________________________
_______________________________________________________________________
_______________________________________________________________ -cauze___________________________________________________________________
__ _________________________________________________________
- pronunarea reflectat a sunetului______________________________________
- pronunarea independent a sunetului___________________________________
- sunete afectate______________________________________________________
e. nelegerea cuvintelor
cuvinte
denumiri____________________________________________________________
cuvinte
nsuiri______________________________________________________________

- cuvinte de
relaie____________________________________________________________
-cuvinte
aciuni_______________________________________________________________
f. Formularea i nelegerea propoziiilor
cu coninut
familiar__________________________________________________________
- cu coninut
nou_____________________________________________________________
g. Vocabularul i structura
gramatical
____________________________________________
_______________________________________________________________________
____
h. Particulariti narative
_______________________________________________________
_______________________________________________________________________
____
i. Elemente prozodice ale vorbiriii spontane
________________________________________
_______________________________________________________________________
_______________________________________________________________________
________
1. Citirea
raportul fonem-grafem______________________________________________
citirea pe silabe_____________________________________________________
citirea pe text cunoscut_______________________________________________
citirea pe text nou___________________________________________________
ritmul citirii_________________________________________________________
dislexia____________________________________________________________
2.Scrierea
analiza literelor separate______________________________________________
sinteza n silabe i cuvinte (omisiuni, nlocuiri, inversiuni)___________________
_______________________________________________________________________
_______________________________________________________________________
________

acordul cuvintelor____________________________________________________
dificulti ortografice_________________________________________________
dizortografii_________________________________________________________
discaligrafii_____________________________________________________
V.Concluzii diagnostice i prognostice___________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________
VI. Evoluia copilului pe parcursul terapiei logopedice
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
______________________