cuestionario para maestra sobre el comportamiento del alumno

1. 1.- Conducta social:
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2.- Hábitos:
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3.- Afectividad:
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4.- Lenguaje:
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5.- Académico:
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6.- Otros:
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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:
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2.- Demanda de atención:
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3.- Impulsividad:
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4.- Rutinas:
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5.- Académico:
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6.- Aspectos emocionales:
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ll.- Anote aquellos comportamientos que desea eliminar, siendo lo más específico que
pueda.
Comentarios:
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Nombre de quienllenalaevaluación:_________________________________________________________