Protocolo DFH

Ps. ELI EUGENIA CABRERA TEJADA C.Ps.P. 4777

TEST DFH INFANTIL HOJA DE EVALUACIÓN Nombre:......................................................... Nombre:............................. ............................................................ ...........................................Edad...........Sexo. ...........Edad...........Sexo. ..... Grado de Inst.: .................................................... .................................................... Colegio. ............................... ..................................... ...... Aula…….………. Número de Hnos.: .......................... .Dirección: ............................. ......................................................... .............................................. .................. Examinador: ....................................................... .....................................................................................ec!a: ..............................ec!a: ............................. ...............................

I. OBSERVACIÓN DURANTE LA PRUEBA " #iem$o de duración de la %rueba: …………………………………………………………………………....……………………………… " Secuencia de las $artes Dibu&adas: …………………………………………………………………………..……………………………… " 'orrones............................. 'orrones......................................................... .......................................................... ............................................................ ......................................... ........... " Actitudes ( comentarios: ..................................................... .................................................................................... ..................................................... ...................... " )bser*aciones generales de conducta:……………………………………………… conducta:……………………………………………………………………… ……………………… ……………………………

II. ANÁLISIS DEL DIBUJO A) Signos Signos Cualia Cualiai! i!os" os" B) …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………

B) D#all#s Es$#%ial#s" …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………

C) O&ision#s" …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………

III. INDICADORES E'OCIONALES …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………

IV. INDICADORES DE LESION CEREBRAL 1

Ps. ELI EUGENIA CABRERA TEJADA C.Ps.P. 4777

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V. INDICADORES NO E'OCIONALES ………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………

VI. INTERPRETACIÓN DEL TEST …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………

C.l." …………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………

Ni!#l &a(ua%ional" …………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………

In(i%a(o#s (# Ogani%i(a(" …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………

In(i%#s E&o%ional#s" E&o%ional#s" …………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………

VII. INTERPRETACION INTERPRETACION DIA*NOSTICA …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………………………………………………

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Ps. ELI EUGENIA CABRERA TEJADA C.Ps.P. 4777

PUNTAJE NIVEL DE CAPACIDAD 'ENTAL PUNTAJE +, / 0 1 2 3,4

COEFICIENTE INTELECTUAL

CATE*ORIA 'ENTAL

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Normal Alto a Superior  Normal a Superior  Nórmala Normal Alto Normal Bajo a Normal Normal Bajo Borderline 5entalmente retardado o 6uncionando en un ni*el retardado debido a serios $roblemas emocionales.

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INDICADORES EMOCIONALES Timide@ A)rei'id#d E:
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