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CURSO DE PSICOLOGIA
HORA JOGO DIAGNÓSTICO
Nº: ______________
DATA: ___/___/___
1. IDENTIFICAÇÃO DO CLIENTE:
Nome: _________________________________________________________ Sexo: ______________
Idade: __________ Nascimento: ___/____/____ Escolaridade: ________________________________
Responsável: ________________________________________________________________________
Parentesco: __________________________________________________________________________
2. MATERIAIS:
( ) Para desenho; ( ) Peças de montar;
( ) Massinha de Modelar; ( ) Casa Terapêutica;
( ) Louças; ( ) Bola;
( ) Carrinhos; ( ) Outros: _________________________________________
( ) Bonecas; ______________________________________________________
Motricidade:__________________________________________________________________________
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Criatividade:__________________________________________________________________________
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Tolerância a frustração:__________________________________________________________________
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Adequação a realidade:__________________________________________________________________
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5. DESCRIÇÃO DA SESSÃO:
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