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Vârsta copilului:
Fraţi:
Anamnezã:
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Evoluţia în mica copilãrie, 0-1 an (primele mişcãri, primele sunete, preferinţe, etc):__________________
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Nivelul de autonomie (ştie sã lege şireturile, se îmbracã, mãnâncã singur, control sfincterian, etc): _____
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Evenimente marcante pentru copil şi familia sa (decese, separarea pãrinţilor, divorţ, etc): ____________
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Primele construcţii verbale (douã sau trei cuvinte folosite împreunã), vârsta: ______________________
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Cât de dificilã este problema pentru copil? Care este impactul pe care îl are aceastã dificultate asupra
vieţii lui şcolare, sociale şi asupra familiei voastre? ____________________________________________
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Viaţa scolarã
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Relaţiile cu ceilalţi copii. Caracteristici ale jocului: teama, agresivitate, dominanţã, izolare ____________
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Atitudini cu privire la activitatea şcolarã (interes, reacţii la reuşitã sau eşecul şcolar): ________________
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Care sunt aşteptãrile dvs de la evaluare/ terapia psihologicã/ terapia logopedicã? __________________
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