EVALUARE PSIHOLOGICĂ

Tipul de dizabilitate ___________________________________________________________________________

Dizabilităţi asociate___________________________________________________________ ___________________________________________________________________________

Dezvoltare senzorial – perceptivă ________________________________________________ ___________________________________________________________________________

Dezvoltare psiho-motrică ______________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Nivel de dezvoltare cognitivă (vârsta de dezvoltare, coeficient de dezvoltare) – se precizează testul/proba psihologică folosită) ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________

Gândirea (inclusiv nivelul operaţional) ____________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Memoria __________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Atenţia ___________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Imaginaţia___________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Limbajul si comunicarea _______________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Afectivitatea ________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Motivaţia __________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Voinţa _____________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Temperament _______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Atitudini ___________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Aptitudini __________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Nivelul maturizării psihosociale ________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Comportament _______________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Recomandări psihologice ______________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Întocmit de _______________________________ Semnătura_____________

Data______________