Avaliao Comportamental Infantil

Texto transcrito do livro: Manual Prtico de Avaliao Comportamental.

Profissional: _____________________________________________data____________________________
Entrevista com o responsvel
Estas so as perguntas bsicas a serem feitas aos responsveis no que concerne ao problema de
comportamento da criana.
1) Descrio Especfica
O(a) senhor(a) pode me dizer quais so aparentemente os problemas de __________________________ ?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
2) ltima Ocorrncia
O(a) senhor(a) poderia me dizer o que aconteceu da ultima vez em que presenciou____________________
agindo dessa maneira? O que o senhor fez?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
3) Freqncia
Com que freqncia esse comportamento ocorre? Quantas vezes por dia (ou hora ou semana) ele ocorre?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
4) Alteraes na Freqncia
O(a) senhor(a)diria que esse comportamento est comeando a acontecer com mais, ou menos freqncia,
ou que a freqncia permanece a mesma?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
5) Ambiente
Em que situaes isso ocorre em casa? Na escola? Em que lugares pblicos ou quando (a criana) est
sozinha?
(Se em lugares pblicos) Quem em geral est com ele? Como eles respondem?
O que est habitualmente (a criana) fazendo nesta hora?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________

6) Antecedentes
Geralmente o costuma acontecer antes que (ele ou ela) faa isto? Aparentemente alguma coisa em
particular leva a que se inicie este comportamento?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
7) Conseqncias
O que acontece em geral logo aps?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
8) Tentativas de Modificao
O que o(a) senhor(a) tentou fazer para impedir que (ele ou ela) se comporta-se desta maneira?
Por quanto tempo o(a) senhor(a) tentou isso?
Como isto funcionou?
O(a) senhor(a) j tentou alguma coisa mais?
1._____________________________________________________________________________________
2._____________________________________________________________________________________
3._____________________________________________________________________________________
4._____________________________________________________________________________________
5._____________________________________________________________________________________
Observaes____________________________________________________________________________
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_________________________
Responsvel

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Profissional