cuestionario a los padres de 2 3 años listo
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FACULTAD DE CIENCIAS DE LA SALUDCARRERA FONOAUDIOLOGICA
Cuestionario a los Padres para el rango 2-3 aosI. Identificacin del PacienteNombre: _________________________________________________________________Edad: ________________________ Fecha de Nacimiento: _________________________Domicilio: ________________________________________________________________Escolaridad: _________________________________Nivel: ________________________Evaluador: ________________________________ Fecha de Evaluacin: ______________Datos Proporcionados por: ___________________________________________________
1. El nio llama la atencin de otra persona para mostrarle alguna accin u objeto._________________________________________________________________________________________________________________________________________________________________________________________________________________.
2. El nio saluda y comparte con personas conocidas_________________________________________________________________________________________________________________________________________________________________________________________________________________.
3. Narra experiencias de lo que le sucede en el jardn_________________________________________________________________________________________________________________________________________________________________________________________________________________.
4. Tiende a Aislarse y estar solo?_________________________________________________________________________________________________________________________________________________________________________________________________________________.
5. Teme a situaciones nuevas?__________________________________________________________________________________________________________________________________________________________________________________________________________________.
6. Juega con nios de su edad?____________________________________________________________________________________________________________________________________________________________________________________________________________________.
7. Espera que los otros nios le respondan?____________________________________________________________________________________________________________________________________________________________________________________________________________________.
8. Posee inters de comunicarse con otros?____________________________________________________________________________________________________________________________________________________________________________________________________________________.
9. Organiza acontecimientos sin ayuda?____________________________________________________________________________________________________________________________________________________________________________________________________________________.
10. Hace berrinches y rabietas frecuentemente?____________________________________________________________________________________________________________________________________________________________________________________________________________________.OBS:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________.
________________________________ ___________________________________ Firma Padre/Madre/Tutor Fonoaudilogo(a)
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