Cuestionario comportamental para maestra

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cuestionario para maestra sobre el comportamiento del alumno

1.- Conducta social:
_______________________________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________
2.- Hábitos:
_______________________________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________
3.- Afectividad:
_______________________________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________
4.- Lenguaje:
_______________________________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________
5.- Académico:
_______________________________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________
6.- Otros:
_______________________________________________________________________________
_______________________________________________________________________________
______________________________________________________________________________
CUESTIONARIO COMPORTAMENTAL
Nombre del niño: ______________________ Fecha de nacimiento___________ Edad: ___
Domicilio:_______________________________Teléfono: __________________________
Escuela:___________________________Grado:___________Maestro: ________________
l.- Describa cada uno de los comportamientos que quiere establecer en su alumna.

1.-Social:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
2.- Demanda de atención:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
3.- Impulsividad:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
4.- Rutinas:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
5.- Académico:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
6.- Aspectos emocionales:
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
ll.- Anote aquellos comportamientos que desea eliminar, siendo lo más específico que
pueda.
Comentarios:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Nombre de quienllenalaevaluación:_________________________________________________________

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Cuestionario comportamental para maestra

1. 1.- Conducta social: _______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ 2.- Hábitos: _______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ 3.- Afectividad: _______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ 4.- Lenguaje: _______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ 5.- Académico: _______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ 6.- Otros: _______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ CUESTIONARIO COMPORTAMENTAL Nombre del niño: ______________________ Fecha de nacimiento___________ Edad: ___ Domicilio:_______________________________Teléfono: __________________________ Escuela:___________________________Grado:___________Maestro: ________________ l.- Describa cada uno de los comportamientos que quiere establecer en su alumna.

2. 1.-Social: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 2.- Demanda de atención: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 3.- Impulsividad: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 4.- Rutinas: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 5.- Académico: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ 6.- Aspectos emocionales: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ll.- Anote aquellos comportamientos que desea eliminar, siendo lo más específico que pueda. Comentarios: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Nombre de quienllenalaevaluación:_________________________________________________________

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Cuestionario comportamental para maestra

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