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Protocolo de Registro y Evaluacin

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Nombre Completo
Edad
Fecha de nacimiento
Escolaridad
CASA

____ Latencia
____ Tiempo total
____ Pocas Borraduras

_____ Muchas borraduras

Observaciones relacionadas con el borrado:


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Secuencia de detalles___________________________________________________________________________________________
Comentarios:
___ Sin Comentarios
____ Algunos comentarios
____ Muchos Comentarios
Observaciones relacionadas con los comentarios:
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Actitud frente al dibujo: ________________________________________________________________________________________
Observaciones relacionadas con las Pausas:
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Otras observaciones:
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ARBOL

____ Latencia
____ Tiempo total
____ Pocas Borraduras

_____ Muchas borraduras

Observaciones relacionadas con el borrado:


____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Secuencia de detalles___________________________________________________________________________________________
Comentarios:
___ Sin Comentarios
____ Algunos comentarios
____ Muchos Comentarios
Observaciones relacionadas con los comentarios:
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Actitud frente al dibujo: ________________________________________________________________________________________
Observaciones relacionadas con las Pausas:
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Otras observaciones:
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PERSONA

____ Latencia
____ Tiempo total
____ Pocas Borraduras

_____ Muchas borraduras

Observaciones relacionadas con el borrado:


____________________________________________________________________________________________________________
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Secuencia de detalles___________________________________________________________________________________________
Comentarios:
___ Sin Comentarios
____ Algunos comentarios
____ Muchos Comentarios
Observaciones relacionadas con los comentarios:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Actitud frente al dibujo: ________________________________________________________________________________________
Observaciones relacionadas con las Pausas:
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Protocolo de Registro y Evaluacin


H T P

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Otras observaciones:
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Nombre Completo
INTERROGATORIO POSTERIOR
CASA
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ARBOL
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PERSONA
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OBSERVACIONES ADICIONALES
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Protocolo de Registro y Evaluacin


H T P
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Nombre y Firma del Evaluador

Fecha de Evaluacin: ___________________________