Prof.univ.dr.

EMIL VERZA
Conf.univ.dr.FLORIN EMIL VERZA

REPERE
PSIHOGENETICE SI PSIHODINAMICE
IN CUNOASTEREA SI EVALUAREA COPILULUI
BUCURESTI 2007

SECTIUNEA I
DATE GENERALE CU PRIVIRE LA COPIL SI LA FAMILIA DIN CARE FACE PARTE
1.Numele si prenumele:_________________________________________________________________
2.Data nasterii: anul___________________luna_____________________ziua_____________________
locul___________________________________________________________________
3.Sexul:______________________________________________________________________________
4.Varsta inscrierii in gradinita si in scoala:___________________________________________________
5.Tipul de scoala:_______________________________________________________________________
6.Numele tatalui:_______________________________________________________________________
Numele mamei:______________________________________________________________________
7.Varsta tatalui:_________________________________Varsta mamei____________________________
8.Profesia tatalui:________________________________Profesia mamei:_________________________
9.Locul de munca al tatalui:________________________locul de munca al mamei:__________________
10.Frati:______________________________________________________________________________
11.Surori:_____________________________________________________________________________
12.Alti membri ai familiei care locuiesc cu copilul:____________________________________________
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13.Conditii de locuit:____________________________________________________________________
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14.Relatiile dintre parinti:________________________________________________________________
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15.Relatiile dintre parinti si copii:__________________________________________________________
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16. Atitudinea parintilor fata de problemele de educatie ale copilului:_____________________________

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17. Relatiile dintre parinti si colectivul de cadre didactice:
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18.Cine se ocupa de educarea copilului si cat timp:____________________________________________
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19.Atitudinea mamei fata de dificultatile pe care le prezinta copilul:______________________________
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20.Metode si procedee folosite de mama in educarea copilului:_________________________________
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21.Date special semnalate de mama cu privire la unele aspect ale comportamentului copilului: somn,
hranire,curatenie corporala,spiritual de ordine, comportarea in raport cu ceilalti membri din familie
( frati, surori, unchi, matusi,bunici), dar si cu privire la comportamentul copilului, cand este despartit
temporar de parinti, si in legatura cu comportamentul fata de evenimente inedited ( personae straine,
evenimente neasteptate etc) : ___________________________________________________________
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SECTIUNEA a II-a
DATE CU PRIVIRE LA STAREA DE SANATATE SI LA DEZVOLTAREA FIZICA A COPILULUI
(se va complete de catre medic sau de catre specialist, dupa fisa medicala)
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SECTIUNEA a III-a
DATE CU PRIVIRE LA DEZVOLTAREA SI PARTICULARITATILE COMPORTAMENTULUI PREDOMINANT
MOTOR SI ALE ACTIVITATII FIZICE
1.Volumul si varietatea miscarilor:_________________________________________________________
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2.Tempoul si ritmul miscarilor, coordonare si finalitate:_______________________________________
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3.Combinatorica miscarilor, transferul miscarilor:_____________________________________________
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4.Lateralitatea in executia miscarilor:_______________________________________________________
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5.Spontaneitatea si initiative in executia miscarilor:___________________________________________
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6.Invatarea miscarilor, plasticitatea in insusirea miscarilor noi:___________________________________
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7.Sincinezii:___________________________________________________________________________
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8.Tipuri de miscari mai frecvente:__________________________________________________________

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9.Abilitati motorii:______________________________________________________________________
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10.Tipuri de jocuri motorii:_______________________________________________________________
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SECTIUNEA aIV-a
DEZVOLTAREA COMPORTAMENTULUI SI ACTIVITATII INTELECTUALE
A)DE TIP SENZORIAL-MOTOR; B) DE TIP NOTIONAL IMAGINATIV; C) DE TIP ACTIONAL-VERBAL

IV.A De tip perceptiv- actional obiectual sau verbal

1.Detectare:___________________________________________________________________________
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2.Identificare: obiecte cunoscute:__________________________________________________________
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3.Recunoastere: obiecte inedite__________________________________________________________
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4.Perceperea relatiilor dintre insusiri integritatea imaginii:____________________________________
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5.Raportul dintre imaginea perceptiva si denumirea ei_________________________________________
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6.Raportul dintre imaginea perceptive si actiunea cu obiectul caracterul operant al perceptiei:______
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7.Perceperea relatiilor inter-obiectuale:

*spatiale______________________________________________________________________________
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*temporale___________________________________________________________________________
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*cantitative___________________________________________________________________________
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8.Tipuri de perceptii predominante:________________________________________________________
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9.Spirit de observatie:___________________________________________________________________
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10.Calitati perceptive speciale:____________________________________________________________
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IV.A b) De tip reprezentativ simbolic
1.Volum, completitudine:________________________________________________________________
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2.Corectitudine, calitate:_________________________________________________________________
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3.Intuitivitate:_________________________________________________________________________
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4.Stabilitate:___________________________________________________________________________
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5.Operante:___________________________________________________________________________
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6.Generalizare,selectivitate,sistematizare:___________________________________________________
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7.Raportul reprezentare-actiune-cuvant:____________________________________________________
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8.Tipuri de reprezentari:
a)dupa analizatori:______________________________________________________________________
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b)statice:_____________________________________________________________________________
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c)cinetice:_____________________________________________________________________________
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d)de transformare-anticipative:___________________________________________________________
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9.Forme specifice de reprezentari:

a)matematice:_________________________________________________________________________
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b)cu privire la fenomene naturale:______________________________________________________
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c) cu privire la fenomene sociale:__________________________________________________________
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d) cu privire la actiuni, activitate:__________________________________________________________
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10.Jocuri de tip simbolic (imitative, pe baza de reprezentari):____________________________________
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IV.B.a)Limbajul
1.Volum,varietate:______________________________________________________________________
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2.Semantica-intalesul cuvintelor folosite:___________________________________________________
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3.Fonatie; consoane,grupuri de consoane, diftongi, triftongi:___________________________________
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4.Structura gramaticala:alcatuirea de propozitii fraze, acorduri gramaticale:_____________________
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5.Legatura limbaj-activitate:
*indicativ-verbale si performante:_________________________________________________________
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*simulativ-verbale si performante:_________________________________________________________
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*verbalizarea actiunii si performante:_____________________________________________________
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6.Forme de limbaj:
*solilocviu:____________________________________________________________________________
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*dialog:______________________________________________________________________________
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*monolog-colectiv:_____________________________________________________________________
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*monolog:____________________________________________________________________________
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7.Expresivitatea verbala:_________________________________________________________________
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8.Comunicarea verbala,spontana,conditii,imprejurari:_________________________________________
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9.Calitati speciale:______________________________________________________________________
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10.Tipuri de tulburari de vorbire (orale si scrise):__________________________________________
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IV.B b) Gandirea
1.Volum de cunostinte:
*intelegerea semnificatiei:_______________________________________________________________
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*operante____________________________________________________________________________
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*cauzalitate si relatii:____________________________________________________________________
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2.Tipuri de definitii:
*enumerative:_________________________________________________________________________
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*eliptice de gen proxim:_________________________________________________________________
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*cu gen proxim si diferenta specifica, cu caracter pragmatic:___________________________________
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* cu gen proxim si diferenta specifica:____________________________________________________
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3.Procese cu functii operatorii de gradul I:

*analiza:______________________________________________________________________________
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*sinteza:______________________________________________________________________________
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*generalizarea:________________________________________________________________________
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*comparatia:__________________________________________________________________________
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*sistematizarea:________________________________________________________________________
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*abstaractizarea:_______________________________________________________________________
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*concretizarea:________________________________________________________________________
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4.Procese cu functii operatorii de gradul II:

*reversibilitate:________________________________________________________________________
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*asociativitate:_________________________________________________________________________
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*combinatorice:________________________________________________________________________
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*clasificari:____________________________________________________________________________
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*serieri:______________________________________________________________________________
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*grupari:______________________________________________________________________________
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*incluziuni de clase:_____________________________________________________________________
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5.Tipuri de notiuni:_____________________________________________________________________
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6.Tipuri de judecati si rationamente:_______________________________________________________

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7.Tipuri de intelegere:
*concret-intuitiva:______________________________________________________________________
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*verbal-generalizata:____________________________________________________________________
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8.Tipuri de rezolvari de probleme:
*de solutii-decizii:______________________________________________________________________
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*de modalitati:_________________________________________________________________________
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9.Tipuri de gandire:_____________________________________________________________________
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10.Calitati speciale:_____________________________________________________________________
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IV.B c) Imaginatia
1.Continutul reprezentarilor de tip imaginativ:_______________________________________________
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2.Intuitivitatea-plasticitatea:______________________________________________________________
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3.Forme ale imaginatiei:
*reproductiva:_________________________________________________________________________
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*combinatorica:________________________________________________________________________
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*creatoare:___________________________________________________________________________
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4.Formele de obiectivare:
*joc__________________________________________________________________________________
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*produse ale activitatii:__________________________________________________________________

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*conduita:____________________________________________________________________________
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5.Procese de construire a reprezentarilor imaginatiei:
*substituire:___________________________________________________________________________
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*aditionare:___________________________________________________________________________
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*augmentarediminuare:____________________________________________________________________________
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*combinare:___________________________________________________________________________
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*creare de imagini noi:_________________________________________________________________
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6.Raportul real-fictiune:_________________________________________________________________
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7.Tipuri de imaginatie:___________________________________________________________________
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8.Jocuri de imaginatie:__________________________________________________________________
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9.Calitati speciale:______________________________________________________________________
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IV.B d)MEMORIA
1.Intiparirea,fixarea_____________________________________________________________________
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2.Pastrarea,durata:
*voluntara____________________________________________________________________________
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*involuntara___________________________________________________________________________
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3.Reproducerea________________________________________________________________________
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4.Recunoasterea_______________________________________________________________________
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5.Raportul dintre memorie-limbaj-actiune___________________________________________________
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6.Raportul memorie-afectivitate___________________________________________________________
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7.Memorie imediata-indepartata__________________________________________________________
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8.Uitarea_____________________________________________________________________________
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9.Tipuri de memorie:
*senzorial-concreta_____________________________________________________________________
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*verbal-logica_________________________________________________________________________
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10.Calitati speciale ale memoriei__________________________________________________________
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IV.B.e)ATENTIA
1.Orientarea___________________________________________________________________________
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2.Concentrarea________________________________________________________________________
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3.Selectivitatea________________________________________________________________________
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4.raportul atentie-cuvant________________________________________________________________
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5.Raportul atentie-activitate______________________________________________________________
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6.Tipuri de atentie______________________________________________________________________
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7.Relatia atentie-interes_________________________________________________________________
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8.Instabilitatea atentiei__________________________________________________________________
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9.Jocuri de atentie______________________________________________________________________
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10.Atentia in invatare___________________________________________________________________
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11.Calitati speciale______________________________________________________________________
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SECTIUNEA a V-a
DEZVOLTAREA ACTIVITATILOR PRAXICE SI DE TIP ARTISTIC-CREATIV
V.A.Deprinderi, obisnuinte uzuale si tehnice
1.Deprinderi de manuire de obiecte uzuale,dispozitive_________________________________________
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2.Deprinderi de actiuni constructive de cuburi______________________________________________
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3.Deprinderi de actiuni constructive din alte materiale, materiale tehnice________________________
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4.Deprinderi igienice-obisnuinte___________________________________________________________
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5.Deprinderi de ordine-obisnuinte_________________________________________________________
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6.Abilitati manuale practice______________________________________________________________
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7.Abilitati tehnice______________________________________________________________________
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8.Abilitati de invatare si rezolvare de probleme_____________________________________________
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V.B.Inclinatii,aptitudini creative
a) de tip artistic
1.Receptivitate perceptiv-imaginativa personaladeosebita fata de :
*armonia formelor_____________________________________________________________________
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*armonia volumului_____________________________________________________________________
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*armonia proportiilor___________________________________________________________________
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*armonia miscarii______________________________________________________________________
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*armonia culorilor______________________________________________________________________
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2.Redarea cu usurinta si fidelitate usurinta in insusirea tehnicii corespunzatoare

*desen,practica________________________________________________________________________
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*pictura,coloristica_____________________________________________________________________
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*modelaj,plastica_______________________________________________________________________
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*lipitura,colaj__________________________________________________________________________
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*constructii-cuburi_____________________________________________________________________
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*plastica miscarilor-dans_________________________________________________________________
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*reproducerea unei melorii dupa si fara note________________________________________________
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*abilitati grafice________________________________________________________________________
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3.Combinarea,imaginarea si redarea intr-o forma noua originala:

*desen-grafica_________________________________________________________________________
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*modelaj-plastica______________________________________________________________________
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_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*lipitura-colaj__________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*constructii-cuburi______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*fraza si melodie muzicala________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*constructia frazei si caligrafia____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
4.Perceperea, interpretarea, intalegerea cu usurinta a unui desen, picturi, text
scris_________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

5.Raportul dintre interese si atitudini__________________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
6.Atitudini deosebite ca germeni ai talentului________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
b)de tip actoricesc
1.Receptivitatea crescuta si sensibilitatea fata de trairile sufletesti ale personajelor din povesti, ale
oamenilor_____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.redarea cu usurinta, prin imitatie si imaginatie, a unor stari sufletesti, situatii,etc
*gestica______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*conduita expresiva_____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*mimica-pantomimica___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*conduita verbala______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Transpunerea cu usurinta intr-un personaj_________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
4.Dominanta jocului de dramatizare________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

5.Raportul dintre interese si aptitudini______________________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________
6.Aptitudini speciale,germeni ai talentului___________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
c.de tip literar
1Receptivitatea si sensibilitatea fata de poezii,povesti,discuri cu povesti si poezii___________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.Redarea cu fidelitate si usurinta a unor povestiri si intamplari traite__________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Redarea originala,intr-o forma inedita
a unor povestiri cunoscute si intamplari
traite________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
4.Crearea de povestiri si poezii inedite_____________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
5.Usurinta si bogatia expresivitatii verbale in povestiri, poezii si lectii_____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
6.Raportul interese-aptitudini_____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

d.de tip tehnic-constructive

1.Receptivitatea si intelegerea cu usurinta a raporturilor spatiale de marime, a proportiilor,a dispozitiei
spatiale in volum si plan_________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.Receptivitatea si intelegerea cu ususrinta a modului de functionare si a dispozitiei elementelor
constructiei (verticala-orizontala),a unor dispozitive tehnice simple_____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Usurinta de a-si reprezenta riguros imaginea, miscarea, transformarea unor elemente ale unei jucarii,
constructii tehnice, a unui dispozitiv simplu, ca un tot_________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________
4.Usurinta si rigurozitatea executiei, articularea actiunilor de constructie
* planul mintal al actiunii________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*ordinea actiunilor_____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*rapiditatea,rigurozitatea________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*folosirea corecta a materialului___________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
5.Raportul interese-aptitudini_____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

6.Jocuri de constructie, dominare si aptitudini tehnice________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_______________________________________________________________________________
V.C.Aptitudini matematice
1.Perceperea,reprezentarea si intelegerea cu usurinta a relatiilor cantitative, numerice, spatiodimensionale (multimile, submultimile de obiecte,fenomene)_________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.Operarea facila cu raporturile de mai sus__________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Abstractizarea cu usurinta a acestor raporturi______________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
4.Operarea facila cu simboluri abstracte-numerice____________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
5.Raportul interese-aptitudini_____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
6.Aptitudini speciale____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

SECTIUNEA a VI-a
INTEGRAREA SOCIO-AFECTIVA A COPILULUI SI INSUSIRI ALE PERSONALITATII

VI.A.Relatiile socio-afective si volitionale

1.receptivitatea si reactivitatea socio-afectiva fata de:
*normele de convietuire in colectivitate regim zilnic_________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*activitati instructiv-educative____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*evenimente stresante__________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*rezultatele activitatii___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*anumite obiecte-jucarii_________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*de parinti____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
____________________________________________________________________________________

*de cadre didactice_____________________________________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*de copii______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*de animale___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.Reactivitatea emotionala:
*cu afectiune__________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*cu bucurie___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*cu placere____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*cu insufletire_________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*cu neplacere_________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

*recalcitrant___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*plangaret-suparacios___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*indiferent____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*refuz________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*izolat________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*fricos_______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*suspicios_____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Reactivitatea afectiva complexa si de cat mai lunga durata:
*sentimentul curiozitatii_________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*sentimentul satisfactiei si admiratiei_____________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*sentimentul responsabilitatii_____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

*sentimentul datoriei___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*sentimentul de cooperare_______________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
4.Manifestarea si continutul expresiei afective:
*adecvarea expresiei cu continutul trairii____________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*varietatea,nuantarea expresiei___________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*capacitatea de control si stapanire________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*expresie mimica pantomimica__________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*expresie verbala_______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*simularea____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*expresivitatea________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

VI.B.Particularitati ale vointei, manifestate in procesul de integrare in colectivitatea de copii si fata de

activitate:
*capacitatea de a actiona in conformitate cu scopul:dirijat-spontan___________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*capacitatea de a formula independent scopuri in activitatile obligatorii in activitatile de joc______
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*capacitatea de a lua oportun decizii selectia mijloacelor adecvate_____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*capacitatea de a aprecia corect dificultatea obstacolelor_____________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*capacitatea de efort volntar gradat, in functie de obstacol________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*capacitatea
de
a
indeplini,
a
traduce
in
viata
decizia
(sarcina)______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

VI.C.Trasaturi de caracter
1.Aptitudini fata de activitate:
* respectul si dragostea fata de munca adultului______________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*grija fata de obiecte ordine, protejarea obiectelor___________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*raspunderea fata de sarcina primita_____________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*initiativa si independenta in indeplinirea sarcinii_____________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*perseverenta si independenta in indeplinirea sarcinii_________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*disciplina____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*obisnuinta de a indeplini sarcinile________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

2.Atitudinea fata de adult si fata de semeni

*respectul fata de adult__________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*admiratie____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*sinceritate___________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*conformism________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*baraje psihologice (necomunicativitate, negativism, sugestibilitate)____________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*introvertit-extavertit___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Atitudinea fata de sine:
*modestie____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*ingamfare____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*laudarosenie_________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*neincredere in sine____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

*tendinta de a se autoobserva si a se autoaprecia_____________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*timiditate____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*curaj________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
VI.D.Trasaturi de temperament
1.Gradul de intensitate al reactivitatii:
*emotionala, motrica,verbala_____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.Gradul de echilibru al reactivitatii:
*emotionala,motrica,verbala_____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Gradul de mobilitate al reactivitatii:
*emotionala,motrica,verbala_____________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

VI.E.Indici de dezvoltare a sociabilitatii si a microrelariilor de tip socio-afectiv

1.Gradul de integrare in colectivul grupei sau al clasei_________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.Gradul de expansiune a copilului in colectivitate:
*usurinta si rapiditatea in stabilirea relatiilor_________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*numarul de copii cu care stabileste relatii__________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*spontaneitatea in stabilirea relatiilor______________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Receptivitatea si disponibilitatea de a stabili relatii preferentiale cu ceilalti copii:
*cu copii de aceeasi varsta_______________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*cu copii mai mari______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*cu copii mai mici______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*cu adultii____________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
*numai cu anumiti copii_________________________________________________________________
_____________________________________________________________________________________
_________________________________________________________________________________

4.Pozitia si rolul copilului in grup__________________________________________________________

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
%.Tipuri de relatii:
*de comunicare
afective______________________________________________________________________________
_____________________________________________________________________________________
verbale_______________________________________________________________________________
_____________________________________________________________________________________
*de cooperare
Pasiv_________________________________________________________________________________
_____________________________________________________________________________________
Activ_________________________________________________________________________________
_____________________________________________________________________________________
*de dominare
Dominat______________________________________________________________________________
_____________________________________________________________________________________
Domina_______________________________________________________________________________
_____________________________________________________________________________________
6.Autonomia sociala
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
7.Structurarea micro-grupurilor:spontaneitate-durata-stabilitate
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

SECTIUNEA a VII-a
Diagnoza si prognoza subiectului
I.Concluzii cu privire la starea de sanatate fizica si psihica a copilului
1.Diagnoza organica____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2.Diagnoza de stare_____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3.Diagnoza etiologica____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
4.Diagnoza functionala__________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
5.Diagnoza psihica______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

II Prognoza
1 De scurta durata____________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
2 De lunga durata______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
III Recomandari
A Pentru subiect
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
B Pentru familie
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
C Pentru scoala
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
D Pentru perspectiva dezvoltarii subiectului
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________