Model pentru structura orientativa a

fisei de caracterizare psihologica a elevului

Unitatea de invatamant………………………………………………………………………..
Localitatea .................................................................
Clasa …………………………………………………

CARACTERIZAREA PSIHOPEDAGOGICA

Numele si prenumele elevului…………………………………………………………………

Data nasterii…………………………………………
Localitatea nasterii …………………………………

A. DATELE FAMILIALE
I. Numele si prenumele parintilor:
1. Tata………………………………………….
2. Mama………………………………………..

II. Ocupatia si locul de munca ale parintilor:

1. Tata………………………………………….
2. Mama………………………………………..

III. Datele despre frati / surori: ……………………………………………………………

...................................................................................................................................................

IV. Conditii materiale: ……………………………………………………………

...................................................................................................................................................

V. Climatul educativ: ……………………………………………………………

...................................................................................................................................................

B. DATE DESPRE DEZVOLTAREA FIZICA

SI STAREA SANATATII ELEVULUI

I. Inaltime:……………., greutatea: …………………

II. Antecedente medicale (comform fisei medicale):

…………………………………………………………………………………………….
...................................................................................................................................................

III.Probleme actuale (comform fisei medicale):

…………………………………………………………….......................................................
...................................................................................................................................................
 C. DATE PRIVIND SITUATIA SCOLARA
SI EXTRASCOLARA A ELEVULUI
I. Evidenta globala a rezultatelor scolare:
Nr.
Disciplinele scolare Semestrul I Semestrul II
Crt.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.

II. Cauze care au favorizat obtinerea rezultatelor foartebune la unele discipline

scolare:
.................................................................................................................................................
.................................................................................................................................................

III. Dificultati majore la invatatura si cauzele care le-au

determinat:...................................
.................................................................................................................................................
.................................................................................................................................................

IV. Participarea elevului la activitatile extrascolare:

1. in cadrul scolii:....................................................................................................................
.................................................................................................................................................
.................................................................................................................................................

2. in afara scolii:......................................................................................................................
.................................................................................................................................................
.................................................................................................................................................

V.Participarea elevului la olimpiade, concursuri scolare si rezultatele obtinute:

.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................
 D. DATE PSIHOLOGICE PRIVIND ELEVUL

I. Itelectul:

1.Dezvoltarea senzoriala:........................................................................................................
.................................................................................................................................................

2. Spiritul de observatie:.........................................................................................................
.................................................................................................................................................

3. Imaginatia (nivelul dezvoltarii acesteia):............................................................................

.................................................................................................................................................

4. Gandirea:
a) capacitatea de intelegere:....................................................................................................
.................................................................................................................................................

b) rezolvarea de probleme:.....................................................................................................
.................................................................................................................................................

5. Memoria (nivelul dezvoltarii acesteia):.............................................................................

.................................................................................................................................................

6. Limbajul:
a) usurinta/dificultatea exprimarii verbale; corectitudinea/incorectitudinea exprimarii
verbale:....................................................................................................................................
.................................................................................................................................................

b) limbajul nonverbal (expresivitatea):...................................................................................

.................................................................................................................................................

7. Atentia (capacitatea de concentrare a atentiei, distributivitatea si mobilitatea

atentiei):..................................................................................................................................
.................................................................................................................................................
.................................................................................................................................................

8. stilul de invatarea al elevului:.............................................................................................

.................................................................................................................................................
.................................................................................................................................................

II. Afectivitatea (stabilitatea, intensitatea, durata, mobilitatea, expresivitatea trairilor

afective):
………………………………………………………………………………………………
………………………………………………………………………………………………
…………………………………………………………………………………….

III. Vointa si motivatia:

 1.Perseverenta in urmarirea scopurilor; rapiditatea in luarea
deciziilor:................................................................................................................................
.................................................................................................................................................

2.Interesele elevului (generale, speciale: ..............................................................................

.................................................................................................................................................
.................................................................................................................................................

IV. Principalele aspecte referitoare la personalitatea elevului:

1.Temperamentul:...................................................................................................................
.................................................................................................................................................

2.Aptitudinile:
a) Nivelul inteligentei elevului: ..............................................................................................
.................................................................................................................................................

b) Aptitudini speciale:.............................................................................................................
.................................................................................................................................................

3.Caracterul:
a) Aptitudini fata de ceilalti: ..................................................................................................
.................................................................................................................................................

b) Aptitusini fata de propria persoana:....................................................................................

.................................................................................................................................................

c) Aptitusini fata de munca:....................................................................................................

.................................................................................................................................................

4.Creativitatea:........................................................................................................................
.................................................................................................................................................

E. DATE REFERITOARE LA CONDUITA ELEVULUI

1.Conduita elevului la lectii:...................................................................................................

.................................................................................................................................................

2. Conduita elevului in colectivul scolar:................................................................................

.................................................................................................................................................

3. Conduita elevului in afara scolii:........................................................................................

.................................................................................................................................................

F. DATE REFERITOARE
LA ORIENTAREA SCOLARA SI PROFESIONALA A ELEVULUI

I. Obtiunea personala a elevului:

…………………………………………………………………………………………………
…………………………………………………………………………………………………

II. Obtiunea parintilor (familiei):

.......................................................................................................................................................
.......................................................................................................................................................

III. Recomandarea dirigintei:

.......................................................................................................................................................
.......................................................................................................................................................

IV. Recomandarea consilierului scolar:

.......................................................................................................................................................
.......................................................................................................................................................

G. APRECIERI GENERALE. CONCLUZII

1.Temperamentul:.........................................................................................................................
.......................................................................................................................................................

2.Aptitudinile:...............................................................................................................................
.......................................................................................................................................................

3.Caracterul:..................................................................................................................................
.......................................................................................................................................................

4.Creativitatea:..............................................................................................................................
.......................................................................................................................................................

Date despre persoana care a intocmit fisa:

Numele si prenumele:.......................................
Facultatea, Grupa:.............................................
Semnatura:........................................................

Data completarii fisei:....................................