Anexa 1

Proces-verbal al psihodiagnozei de grup

Nr. ________din _________20

Instituţia de învăţământ_______________________________
Clasa __________________ Vârsta _____________________
Data evaluării_______________________________________
Scopul examinării______________________________________________________________
_____________________________________________________________________________
Tehnica/Metodica ______________________________________________________________
_____________________________________________________________________________
Examinator/evaluator _________________________________

Prelucrarea datelor

Nr Nume, Prenume Valori brute Nivelul plasării Notă *

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

19.
20.

Concluzii_____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Recomandări__________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Psiholog __________________________________
Semnătura ________________________________

*** La rubrica Notă: psihologul notează observările cu privire la rezultatele obţinute (norma,
recomandare de asistenţă etc.).

Sursa bibliografică: Organizarea activităţii serviciului de asistenţă psihologică.,Ghid

metodologic, Chişinău, 2011.
 Anexa 2

Proces verbal al psihodiagnozei individuale

Nr. ________din____________2018

Nume, Prenume________________________________
Instituţia de învăţământ __________________________
Vârsta _________________Clasa __________________
Data evaluării___________________________________
Scopul examinării______________________________________________________________
_____________________________________________________________________________
Examinator/evaluator _________________________

Prelucrarea datelor

Nr Tehnica/Metodica Valori brute Nivelul plasării

1.

2.

3.

4.

5.

6.

7.

Concluzii_____________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Recomandări__________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Psiholog __________________________________

Semnătura ________________________________