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
dental______________________________________________________________
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
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________