Proces verbal al psihodiagnozei individuale Nr.

________
Nume, Prenume____________________ Instituia ________________________
Vrsta ________Clasa____________ Data ________________________________
Scopul examinrii___________________________________________________
Prelucrarea datelor
Nr
1.
2.
3.
4.
5.
6.
7.

Tehnica/Metodica

Valori brute

Nivelul plasrii

Concluzii___________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
_______________________________________________________________
Recomandri
__________________________________________________________________
__________________________________________________________________
_______________________________________________________________
__________________________________________________________________
__________________________________________________________________
________________________________________________________________
Psiholog ______________________

semntura ___________________

Fi de caracterizare psihologic a elevului

Data completrii ________________
Numele prenumele _______________________
Vrsta ______ clasa ___

data naterii ______

I.
Date despre familie
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
________________________________________________________________
II.

Date medicale (dezvoltarea fizic i starea general a sntii)

__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
III. Procese intelectuale i stilul de munc
1. Nivelul de inteligen_____________________________________________
2. Limbajul ______________________________________________________
3. Memoria ______________________________________________________
4. Gndirea ______________________________________________________
5. Atenia _______________________________________________________
6 .Spiritul de observaie ____________________________________________
7. Imaginaia _____________________________________________________
8.Motivaia ______________________________________________________
9. Stilul de munc _______________________________________________
IV.
1.
2.
3.
4.

Conduita la lecii i n colectivul clasei

Participarea la lecii _____________________________________________
Disciplina la lecii_______________________________________________
Participare la viaa colectivului clasei ______________________________
Aprecieri ale colectivului de elevi __________________________________
_____________________________________________________________
5. Statutul n grup ________________________________________________
6. Aprecieri ale profesorilor, dirigintelui
_____________________________________________________________
_____________________________________________________________

V.
Trsturi de personalitate
1. Tipul dominant de temperament ___________________________________
2. Emotivitatea __________________________________________________
3. Trsturi dominante de caracter
Pozitive _________________________________________________
Negative ________________________________________________
VI. Interese, nclinaii, aptitudini ___________________________________
________________________________________________________________
________________________________________________________________
VII. CONCLUZII
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
VIII. Prognoza de dezvoltare a elevului____________________________
________________________________________________________________
________________________________________________________________

Psiholog ________________________

semntura ___________________