Nr.

eviden
FI LOGOPEDIC
Nr.
Numele i prenumele copilului______________________________________________________
Data naterii__________Adresa:localitatea:________________Str._________________nr.____
bloc____scara_____Et._____ap.______Telefon________________________________________
coala/Grdinia:____________________________Clasa/Grupa__________________________
Situaia colar_________________________________________Anul colar________________
Rezultatele examenului psihologic __________________________________________________
________________________________________________________________________________
________________________________________________________________________________
EXAMENUL TERAPEUTIC COMPLEX
Anamnez:
Numele tatlui______________________________vrsta___________profesia______________
Numele mamei_______________________________vrsta___________profesia_____________
Situaia lui familial______________________________________________________________
Alte persoane cu tulburri de limbaj n familie________________________________________
Atitudinea familiei fa de dizabilitile/dificultile de limbaj ale copilului________________
Atitudinea copilului fa de vorbire__________________________________________________
Boli/vrsta______________________________________________________________________
________________________________________________________________________________
Gngurit______________lalaie________________primele cuvinte_______________________
Primele propoziii___________________________mersul_______________________________
Apariia tulburrilor______________________________________________________________
Malformaii _____________________________________________________________________
Starea aparatului fonoarticulator:
Buze/dini_______________________________Limba____________________________
Palatul tare, moale, uvula____________________________________________________
Tip respiraie____________________________________________________________________
Motricitate general_______________Mers________________Lateralitate ________________
Schem corporal________________________________________________________________
Organizarea spaio-temporal______________________________________________________
Alte structuri perceptiv-motrice:culoare_____________________________________________
Form________________________________mrime___________________________________
Examinarea limbajului:
Vorbirea:
Vorbire reflectat________________________________________________________________
Vorbire independent:
spontan________________________________________recitare_________________________
Cnt______________povestire liber_______________dup imagine______________________
Ritmul vorbirii____________Expresivitatea vorbirii_________________ Vocea_____________

Structura gramatical____________________________________________________________
________________________________________________________________________________
Sunete afectate:omise________nlocuite_________deformate_________neconsolidate________
Grupuri consonantice_______________________diftongi_____________triftongi___________
Acuitate auditiv: nelegerea vorbirii auditoriului____________________________________
Recunoaterea i reproducerea sunetelor perechi______________________________________
Sunete izolate_____________________________________silabe,cuvinte___________________
Autocontrol auditiv_________________________confuzii_______________________________
Alte particulariti ale vorbirii______________________________________________________
Alte sisteme de comunicare folosite de copil___________________________________________
Citirea i scrierea:
Citire: raportul fonem- grafem_____________________________________________________
________________________________________________________________________________
Citirea pe silabe__________________________________________________________________
Citirea pe text cunoscut_________________Citirea pe text nou___________________________
Ritmul citirii_______________Expresivitatea citirii____________________________________
Scriere: analiza literelor separate___________________________________________________
Sinteza n silabe i cuvinte: omisiuni______________________________ nlocuiri ___________
Inversiuni_________________Semne de punctuaie____________________________________
Dificulti ortografice_____________________________________________________________
Copiere_________________________________________________________________________
Dictare_________________________________________________________________________
Compunere______________________________________________________________________
Comportamentul copilului_________________________________________________________
Diagnostic_______________________________________________________________________
Trimiteri la examinri medicale_____________________________________________________
Data nceperii terapiei_____________________________________________________________
Logoped________________________________________________________________________
Evidena frecvenei copilului la activitile de logopedie:

Luna

Ziua

Septembrie
Octombrie
Noiembrie
Decembrie
Ianuarie
Februarie
Martie
Aprilie
Mai
Iunie
Observaii asupra desfurrii procesului terapeutic: evaluri periodice, metode, procedee,
exerciii folosite n diferitele faze ale corectrii, rezultatele pariale, materialul intuitiv,
auxiliar folosit; ajutorul primit din partea prinilor, medicilor de specialitate, cadrelor
didactice; recidive sau greuti survenite n timpul tratamentului logopedic: