Instituția________________________________________________________________________________________________

N.P.logopedului__________________________________________________________________________________________

FIȘA DE EXAMINARE COMPLEXĂ ȘI EVOLUȚIE LOGOPEDICĂ

Nr. fișei__________
Data emiterii__________

I. Datele generale

- N.P. copilului________________________________________________________________________________________________________
- Data nașterii_________________________________________________________________________________________________________
- Mama_______________________________vârsta_____________________profesia_______________________________________________
- Tata_________________________________vârsta_____________________profesia______________________________________________
 1. Examen multilateral:
- Sarcina_____________________nașterea________________________alimentația________________________________
- Antecedente postnatale, boli___________________________________malformații_______________________________
- Alți deficienți în familie_______________________________________________________________________________
- Atitudinea copilului față de vorbirea proprie_______________________________________________________________
- Comportamentul copilului_____________________________________________________________________________
- Respirația__________________________________________________________________________________________
- Motricitatea generală_________________________________________________________________________________
__________________________________________________________________________________________________
- Motricitatea fină_____________________________________________________________________________________
__________________________________________________________________________________________________
- Orientarea spațio – temporale__________________________________________________________________________
- Starea organelor fono-articulatorie, maxilarele, buzele, limba (fren), bolta palatină, uvula, cavitatea nazală_____________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
- Văzul_____________________________________________________________________________________________
- Auzul_____________________________________________________________________________________________
- Atenția____________________________________________________________________________________________
- Memoria___________________________________________________________________________________________
1. Evoluția limbajului:
- Gânguritul___________________________________lalația__________________________________________________
- Primele cuvinte________________________înțelegerea vorbirii adresate_______________________________________
- Primele propoziții____________________________________________________________________________________
- Apariția deficienței______________________cauze________________________________________________________

2. Vorbirea independentă:
- Conversația (dialogul)________________________________________________________________________________
- Recitarea___________________________________________________________________________________________
- Cântul_____________________________________________________________________________________________
- Povestirea liberă_____________________________________________________________________________________
__________________________________________________________________________________________________
- Povestirea după imagine_______________________________________________________________________________
__________________________________________________________________________________________________
_________________________________________________________________________________________________
- Vorbirea reflectată___________________________________________________________________________________
- Vocea_____________________________________________________________________________________________
- Expresivitatea vorbirii________________________________________________________________________________
- Ritmul și fluența vorbirii______________________________________________________________________________
1. Vocabularul, înțelegerea și folosirea cuvintelor:
- Nume______________________________________________________________________________________________
- Acțiuni____________________________________________________________________________________________
- Însușiri____________________________________________________________________________________________
- Alte categorii_______________________________________________________________________________________
2. Structura gramaticală:
- Înțelegerea și folosirea construcțiilor gramaticale___________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
3. Auzul fonematic. Autocontrolul auditiv_________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
4. Respirația fonematică_______________________________________________________________________________
__________________________________________________________________________________________________
5. Articularea fonemelor:
- Sunete afectate______________________________________________________________________________________
- Sunete absente______________________________________________________________________________________
1. Alte particularități ale vorbirii________________________________________________________________________
__________________________________________________________________________________________________
- Citirea_____________________________________________________________________________________________
- Scrierea____________________________________________________________________________________________
2. Concluzii diagnostice________________________________________________________________________________

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
3. Data începerii terapiei logopedice______________________________________________________________________

4.Indicații generale____________________________________________________________________________________

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
5. Evoluții în terapia logopedică__________________________________________________________________________

_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________

Recomandări:_________________________________________________________________________________________

_____________________________________________________________________________________________________