FIA DE EXAMINARE COMPLEX

N r . fiei_______________________
ntocmit de____________________
Data emiterii___________________
I. D at e ge n er al e
Numele
i
prenumele____________________________data
naterii____________________ _______vrsta___________locul
naterii__________________________________________ adresa________________________
_________________________coala______ __________
clasa___________nvtor_______________________________
.I I . D a t e f a m i l i a l e
Numele
tatlui___________________________vrsta_____________studii______________ ________
______________locul
demunc__________________funcia_________________
Numelemamei__________________________vrsta______________studii______________ __
____________________locul de munc__________________funcia_________________ starea
material_________.Starea
locuinei________________________________________
numrulfrailor_____
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_______________________________
_
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_
_
A
n
t
e
c
e
d
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n
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e
p
r
e
p
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r
i

i
postnatale________________________________________________ _______
________________________________________________________________ _____________
__________________________________________________________
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_
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_
_
A
n
t
e
c
e
d
e
n
t
e
colaterale__________________________________________
_______________ ______________________________________________________________
_________ ____________________________________________________________________
___ ________ Inteligena________________________________________________________
_______ ____ Memoria__________________________________________________________
______ ____ Imaginaia_________________________________________________________
______ ____ Atenia____________________________________________________________
______ ___ Afectivitatea_________________________________________________________

____ ____ Voina_______________________________________________________________

___ ____ Lateralitatea___________________________________________________________
___ ___ Comportamentul________________________________________________________
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_
_
_
_

n
familie___________________________________________________________
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_

n
colectiv__________________________________________________
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_
T
r

t
u
r
i
d
e
p
e
r
s
o
n
a
l
i
t
a
t
e
(
p
o
z
i
t
i
v
e
,
negative)__________________________
_____________ ________________________________________________________________
_______ ______________________________________________________________________
_ ________ IV Examen logopedic :a.Integritatea anatomo-funcional a aparatului
fonoarticulator aparatul
respirator_________________________________________________________ p a r t i c u l a r i t i
f o n a t o r i i
( v o c e ,
m u t a i e
v o c a l ,
p u r i t a t e a vocii)___________________________________________________
________________ ___________________ -aparatul
articulator___________________________________________________________ b.Sistemul
labio-comisural
aparatul
dental________________________________________________________
______
maxilarele_______________________________________________________________
_
_
limba__________________________________________________________________
dur__________________________________________________________________ omuorul_______________________________________________________________
_
_
_
_
c
a
v
i
t
a
t
e
a
nazal__________________
___________________________________________ c. Funcia auditiv de
ansamblu:acuitateaa u d i t i v _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
__________________ c
o
n
t
r
o
l
u
l
a
u
d
i
t
i
v
a
l
vorbirii___________________________________________
_________ - autocontrolulauditiv al
vorbirii_________________________________________________ d . A p a r i i a
tulburrilor de
l i m b a j _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __________________

_____________________________________________________ ________________________
_______________________________________ 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
vorbiriiispontane________________________________________ _______________________
_____________________________________________ ________________________________
____________________________________ ______________
1. Citirea15
raportul fonem-grafem______________________________________________
citirea pe silabe_____________________________________________________ citirea pe text
cunoscut_______________________________________________ citirea
pe text
nou___________________________________________
________
r i t m u l citirii_________________________________________________________ dislexia_
___________________________________________________________
2.Scrierea analiza literelor separate______________________________________________
sinteza n s i l a b e i c u v i n t e ( o m i s i u n i , n l o c u i r i ,
i n v e r s i u n i ) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ________________________________
_______________________________________ ______________________________________
_________________________________ ________ a c o r d u l
cuvintelor_____________________________________ _______________
dificulti
o r t o g r a f i c e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ dizo
rtografii_________________________________________________________ discaligrafii____
_________________________________________________ V . C o n c l u z i i d i a g n o s t i c e
i

p r o g n o s t i c e _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____________________
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_____________________ _______________________ V I .
E v o l u i a
c o p i l u l u i
p e
p a r c u r s u l
t e r a p i e i
l o g o p e d i c e ___________________________________________________
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