Psicologia e Psicanálise Clínica

ENTREVISTA AVALIATIVA PARA ENCAMINHAR AOS RESPONSÁVEIS

Nome:_______________________________________________________________________
Idade:__________________________
Escolaridade:____________________
Responsável pelo preenchimento:________________________________________________
Grau de parentesco:__________________________________

1-Distrai-se facilmente com estímulos externos?

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2-Perde materiais escolares com frequência?

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3-Tem dificuldade em permanecer sentado? Sai da sala de aula sem permissão?

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4-Ausência de interesse pela aprendizagem? É alfabetizado (a) ?

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5-Dificuldade em concluir atividades propostas?

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6-Dificuldade em manter a atenção e foco nas atividades escolares?

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7-Hiperatividade?

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8-Escola em que estuda? Existe alguma da escola?

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9-Dificuldade em esperar sua vez? Interrompe os outros?

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10-Avaliação em relação a leitura:

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11-Avaliação de produção de texto:

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Outras observações:

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