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  • Fisa Anamneza

    Încărcat de

    Adriana Bogăţean
    133 vizualizări2 pagini

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    fisa anamneza

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    © All Rights Reserved
    Descărcați ca DOC, PDF, TXT sau citiți online pe Scribd
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    133 vizualizări2 pagini

    Fisa Anamneza

    Încărcat de

    Adriana Bogăţean

    Drepturi de autor:

    © All Rights Reserved
    Descărcați ca DOC, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 2

    ANAMNEZĂ

    Nume şi prenume:____________________________________________________________
    Vârsta şi sexul:_______________________________________________________________
    Starea sănătăţii actuale:________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Antecedentele heredo-colaterale (boli somatice şi psihice ale rudelor de gradul I şi II)
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Mediul familial anterior:______________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Mediul familial actual (atmosfera familială):______________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________

    Mediul social anterior şi actual (cercul de prieteni):________________________________


    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Nivelul de instruire:___________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Date semnificative privind evoluţia psihică până la vârsta şcolară:____________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Date semnificative din perioada şcolară(succese, eşecuri):___________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Date legate de profesie (evoluţie profesională, relaţii cu colegii, sefii, promovări):_______
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Modul de petrecere a timpului liber:_____________________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________
    Idealul în viaţă, concepţia generală asupra vieţii:__________________________________
    ____________________________________________________________________________
    ____________________________________________________________________________

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