Daniela Quinhes- psicanalista

61 91453851

astropsicanlise@gmail.com
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M
s

Janeiro

Fevereiro

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Anamnese Psicanaltica
Trabalha: ________________________________________ Salrios: 1 ( ) 2 ( ) 3 ( ) 4 ( )
5 ( ) +6 ( )
Nome
do
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Pai:

Doenas
do
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Pai:

Reside com voc: Sim ( )

No ( )

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Escolaridade: ____________________________
Religio: ________________________________
Relacionamento:
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http://astropsicanalise.wix.com/danielaquinhoes

Daniela Quinhes- psicanalista

61 91453851
astropsicanlise@gmail.com
Nome
da
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Doenas
da
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Reside com voc: Sim ( )

Me:
Me:

No ( )

Idade da Me: __________________________

Escolaridade: ___________________________
Religio: _______________________________
Relacionamento:
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Cnjuge:
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Daniela Quinhes- psicanalista

61 91453851
astropsicanlise@gmail.com
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O que mais quer hoje

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Acidentes
ou
doenas
na
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fase

de

criana

Quantos
amigos
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possui

Passatempo
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preferido

Medos
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Fantasias
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Fantasmas
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Quem

o
seu
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amor

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________________
Como
comeou
sua
vida
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sexual

Daniela Quinhes- psicanalista

61 91453851
astropsicanlise@gmail.com
Sente
prazer
(orgasmo)
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Gosta das pessoas: superiores _______________ inferiores ________________ iguais
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Gravidez
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Parto
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Fase Oral
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Elementos/criativos
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Daniela Quinhes- psicanalista

61 91453851
astropsicanlise@gmail.com
_____________________________________________________________________________________
_______________________________________________________________________________
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