Documente Academic
Documente Profesional
Documente Cultură
Fisapsihoped
Fisapsihoped
Scoala:_____________________
Localitatea________________________
ntocmit de la ________pn la_______
I.
1.
2.
3.
4.
II.
Date personale:
Numele i prenumele:________________________________
Locul i data naterii:______________________Vrsta____________
Domiciliul:__________________________________________
nscris la aceasta coal din anul colar:____________________
Date cu privire la ruta colar anterioar (inclusiv perioada precolar):
III.
Date familiale:
1. Ocupaia i locul de munc al prinilor:
Tatl:______________________________
Mama:______________________________
2. Structura i componena familiei
a) tipul familiei:
normal
prini divorai
un printe decedat
prini vitregi
b) Frai (surori) mai mici sau mai mari:
Nr. Nume i prenume
vr ocupaia
crt
sta
1.
2.
3.
4.
5.
Nr. ocupaia
crt
6.
7.
8.
9.
10.
vr
sta
ocupaia
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3. Atmosfera i climatul afectiv:
raporturi armonioase, de nelegere ntre ei;
raporturi punctate de mici conflicte trectoare;
dezacorduri puternice n familie, conflicte frecvente;
familia destrmat sau pe cale de destrmare.
4. Atitudinea sau conduita prinilor fa de
Copil_____________________________________________________________
coal____________________________________________________________
Rezultatele la nvtur ale elevului____________________________________
5. Planuri ale familiei pentru copil
6.
IV.
1. Anamneza
a) Antecente familiale
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__
b) dezvoltarea timpurie a copilului (natere, mbolnviri, deficiene):
_______________________________________________________________________
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_
V.
Date psihologice:
1. Percepia (vizual, auditiv etc.):
_______________________________________________________________________
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4 5 6
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11. Comportament social
1
prietenos, sociabil
accept autoritatea
lider
activ n grup
neprietenos, nesociabil
respinge autoritatea
se las condus
pasiv
nepopular
nemulumit
VI.
Caracterizare general final:
Dominante pozitive (puncte tari din caracterizarea anterioar)
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___
Dominante negative (puncte slabe din caracterizarea anterioara)
_______________________________________________________________________
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___
Recomandri (in funcie de dominantele menionate mai sus - recomandri pentru
cadrele didactice sau prini astfel nct dezvoltarea copilului s fie una dorit)
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