Unitatea de nvmnt: _______________________________________________

Localitatea: _____________________________
Clasa: _____________
Anul colar: _____________________________

CARACTERIZARE PSIHOPEDAGOGIC

Numele i prenumele elevului___________________________________________

Data naterii:___________________________
Localitateanaterii ______________________

A. DATE FAMILIALE
I. Numele i prenumele prinilor:
1. Tata: ________________________________________
2. Mama: _______________________________________
II. Ocupaia i locul de munc ale prinilor:
1. Tata: ______________________________________________________________
2. Mama: ____________________________________________________________
III.Date despre frai/surori: ____________________________________________
__________________________________________________________________

B. DATE DESPRE DEZVOLTAREA FIZIC

I STAREA SNTII ELEVULUI
I.nlimea:_______; greutatea:_________
II. Informaii medicale (conform declaraiei elevului sau fiei medicale) boli
cronice sau actuale
_____________________________________________________________________
_____________________________________________________________________

2
C. DATE PRIVIND SITUAIA COLAR
I EXTRACOLAR A ELEVULUI

I. Evidenierea global a rezultatelor colare:

Nr.
crt.

Disciplinele colare

Semestrul
I

Semestrul
II

II. Factori favorizani i defavorizani pentru succesul i dificultile la

nvtur la disciplinele de studiu
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
III. Participarea elevului la activiti extracolare:
1. n cadrul colii: ______________________________________________________
__________________________________________________________________
2. n afara colii:_______________________________________________________
__________________________________________________________________
V. Participarea elevului la olimpiade, concursuri colare i rezultatele obinute
(dac e cazul):
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________

D. DATE PSIHOLOGICE PRIVIND ELEVUL

I. Intelectul:
1. Dezvoltarea senzorial: _______________________________________________
__________________________________________________________________

2. Gndirea:
a) capacitatea de nelegere: ______________________________________________
__________________________________________________________________
b) rezolvarea de probleme: _______________________________________________
__________________________________________________________________
3. Memoria (nivelul dezvoltrii acesteia): ___________________________________
__________________________________________________________________
4. Limbajul:
a) uurina/dificultatea exprimrii verbale; corectitudinea/incorectitudinea exprimrii
verbale:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
b) limbajul nonverbal (expresivitatea): _____________________________________
__________________________________________________________________
5. Atenia (capacitatea de concentrare a ateniei, distributivitatea i mobilitatea
ateniei):___________________________________________________________
__________________________________________________________________
__________________________________________________________________
II. Afectivitatea (stabilitatea, intensitatea, durata, mobilitatea, expresivitatea tririlor
afective): __________________________________________________________
__________________________________________________________________
__________________________________________________________________
III. Voina i motivaia:
1. Perseverena n urmrirea scopurilor; rapiditatea n luarea deciziilor: ____________
__________________________________________________________________
__________________________________________________________________
2. Interesele elevului (generale, speciale): ___________________________________

4
__________________________________________________________________
__________________________________________________________________
IV. Principalele aspecte referitoare la personalitatea elevului:
1. Temperamentul _____________________________________________________
__________________________________________________________________
2. Aptitudinile generale i specifice (inteligena, nclinaii speciale)
_____________________________________________________________________
_____________________________________________________________________
______________________________________________________________
3. Caracterul:
a) Atitudini fa de ceilali: _______________________________________________
__________________________________________________________________
b) Atitudini fa de propria persoan: _______________________________________
__________________________________________________________________

E. DATE REFERITOARE LA CONDUITA ELEVULUI

1. Conduita elevului la lecii: ____________________________________________
__________________________________________________________________
2. Conduita elevului n colectivul colar: __________________________________
__________________________________________________________________
3. Conduita elevului n afara colii: ______________________________________
__________________________________________________________________

F. DATE REFERITOARE
LA ORIENTAREA COLAR I PROFESIONAL A ELEVULUI
I. Opiunea personal a elevului: ________________________________________
__________________________________________________________________
II. Opiunea prinilor (familiei): ________________________________________
__________________________________________________________________
III. Recomandarea dirigintelui i a altor specialiti (dac e cazul)
____________________________________________________________________
_____________________________________________________________________

5
G. APRECIERI GENERALE. CONCLUZII
1. Preocupri generale i persistente ale elevului (descrierea activitilor):
_____________________________________________________________________
_____________________________________________________________________
2. Caracterul relaiilor sociale stabilite (persoane semnificative, tipul de relaii):
_____________________________________________________________________
_____________________________________________________________________
__________________________________________________________________
3. Nivelul autocunoaterii: __________________________________________________
________________________________________________________________________
4. Aspiraii, proiecte de viitor: ________________________________________________
________________________________________________________________________

Date despre persoana care a ntocmit fia:

- Numele i prenumele: ______________________
- Facultatea, grupa: _________________________
-Semntura: _______________________________

Data completrii fiei: _______________________