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Fisa de Anamneza Psihologica
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Fişă de anamneză psihologica
Numele şi prenumele: _________________________________________________________________
Data, an naştere, localitate: _____________________________________________________________
Domiciliul stabil al părinţilor: ___________________________________________________________
Profesia: ____________________________________________________________________________
Vechimea in functie: __________________________________________________________________
Experienta profesionala: _______________________________________________________________
Studii anterioare: _____________________________________________________________________
1. Date asupra mediului familial – structura familiei
a. Familia
Numele membrilor familiei
Varsta parintilor la nastere
Data naşterii
Pregătirea şcolară Profesiunea Venituri
Observaţii
Tata
Mama
Fraţi
b. Atmosfera în familie (relaţiile de familie cu persoane ce dispun de functii importante; regim şi climat educativ, climat afectiv etc.):
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c. Ordinea in fratrie: _________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
d. Proiectele părinţilor privind viitorul copilului( influenta parintilor va arata gradul de sugestibilitate, de dependenta sau de maturizare:
_________________________________________________________________________________________
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2. Date privind activitatile de joaca: a. Grupul de joaca (varsta 3-5 ani) – existenta si structura grupului (detalii despre calitatile
relationale si comunicationale):
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b. Preferinta pentru anumite meserii in timpul jocului:
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c. Pozitia subiectului fata de lider (fata de autoritate):
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3. Date asupra şcolarităţii (perioada adolescentei 16-18 ani) – afirmarea Eului, structurarea liniei si a idealului de viata
a. Situaţia şcolară in urma studiului fisei scolare:
Clasa Secţia Media anualăObiecte cu rezultate Repetenţe,
corigenţeMai bune Mai slabe
a IX-aa X-aa XI-a a XII-a
b. Succese deosebite la concursuri:_________________________________________________________________________________________
_________________________________________________________________________________________
c. Manifestări în timpul lecţiei (atenţie, receptivitate, participare la discuţii – frecvenţa şi valoarea intervenirii etc.):
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d. Modul de pregătire a lecţiilor (cu regularitate, din proprie iniţiativă, prin efort propriu etc.):_________________________________________________________________________________________
_________________________________________________________________________________________
e. Eficienta scolara (comportamentul invatarii, cu sau fara strategii de invatare)_________________________________________________________________________________________
_________________________________________________________________________________________
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f. Chiulul (absenta sau prezenta lui):_________________________________________________________________________________________
_________________________________________________________________________________________
g. Factorii explicativi ai succesului sau ai insuccesului (aptitudini, sârguinţă, interes, deprinderi de muncă, lacune în pregătirea şcolară, aspiraţii profesionale, stare de sănătate, condiţii de mediu etc.):
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4. Integrarea socială a elevului (varsta 3-7 ani – adaptarea si integrarea scolara)
A. Conduita în familie:a. faţă de părinţi (ascultare, ataşament, independenţă, nesupunere etc.)
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b. relaţiile cu fraţii (ocrotire, înţelegere, dominare etc.):_________________________________________________________________________________________
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c. participare la activitatea familiei (autoservire, ajutorare etc.):_________________________________________________________________________________________
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B. Conduita în şcoală:a. Relaţiile elev – profesori (disciplinat, politicos, docil, rezervat, impertinent etc.):
_________________________________________________________________________________________
_________________________________________________________________________________________
b. Atitudinea pozitiva/ negativa fata de acea perioada:_________________________________________________________________________________________
_________________________________________________________________________________________
c. Relatia cu persoanele importante (primul invatator, primul diriginte):_________________________________________________________________________________________
_________________________________________________________________________________________
d. Relaţiile cu colegii (solidaritate, colegialitate, prietenie, rezervă, tendinţă de dominare sau de supunere, egoism, apreciere, influenţa lui în cadrul colectivului etc.):
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e. Interese manifestate pentru anumite meserii:_________________________________________________________________________________________
_________________________________________________________________________________________
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C. Conduita între prieteni (natura prietenilor, rolul în grup, influenţe asupra elevului etc.):_________________________________________________________________________________________
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5. Caracteristicile personalităţii a. Procese intelectuale (nivel de dezvoltare intelectuală, memorie, gândire, imaginaţie, limbaj etc.):
_________________________________________________________________________________________
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________________________________________________________________________________________
b. Trăsături de afectivitate (sentimente legate de personalitate, reacţii faţă de succes şi insucces, sensibilitate, timiditate, echilibru emotiv etc.):
_________________________________________________________________________________________
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c. Aptitudini, interese, aspiraţii – evidenţiate prin activităţile şcolare şi preocupările din timpul liber_________________________________________________________________________________________
_________________________________________________________________________________________
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d. Increderea in sine (inalta capacitate de evaluare, autoreglare si actiune, stare de spirit optimista, stenica, siguranta in reusita proprie si colectiva):
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_________________________________________________________________________________________
6. Trăsături de temperament: a. Energie (capacitate de efort, rezistenţă la oboseală), mobilitate (ritm de activitate, adaptare la
situaţii noi) şi echilibru psihic (stăpânire de sine impulsivitate):_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
b. Introversiune (închis, retras) – extraversiune (deschis, sociabil): - deschis – disponibilitatea de a-si relata obiectiv si sincer trecutul:
_________________________________________________________________________________________
_________________________________________________________________________________________
c. Atitudine faţă de societate şi de oameni ( comportare civilizată, solicitudine, ataşament faţă de colectiv, onestitate etc.):
_________________________________________________________________________________________
_________________________________________________________________________________________
d. Atitudine faţă de sine (demnitate, modestie, spirit autocritic etc.):
_________________________________________________________________________________________
_________________________________________________________________________________________
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7. Aprecieri de ansamblu
a. Pregătirea raportată la aptitudini, starea de sănătate şi condiţii de muncă:_________________________________________________________________________________________
_________________________________________________________________________________________
b. Gradul de maturizare psihică (intelectuală, afectivă, temperamentală):_________________________________________________________________________________________
_________________________________________________________________________________________
8. Conduita in munca a. Relatia subordonat – sef:
_________________________________________________________________________________________
_________________________________________________________________________________________
b. Relatiile cu colegii de munca:_________________________________________________________________________________________
_________________________________________________________________________________________
c. Integrarea in organizatie (conformism):_________________________________________________________________________________________
_________________________________________________________________________________________
d. Eficienta obtinuta in organizatie:_________________________________________________________________________________________
_________________________________________________________________________________________
e. Interesul profesional:_________________________________________________________________________________________
_________________________________________________________________________________________
Observaţii – raport (profilul psihologic):
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