Entrevista psicológica para adolescentes
Enviado por analy95 • 28 de Abril de 2021 • Apuntes • 296 Palabras (2 Páginas) • 890 Visitas
Entrevista psicológica para adolescentes
- DATOS GENERALES
1.Nombre:________________________________________________
2.Fecha de nacimiento:______________________________________
3.Edad:___________________________ sexo:__________________
4.Direccion:_______________________________________________
5.Grado escolar:__________________ Escuela:_________________
6.Motivo de consulta:_______________________________________
7.Consumo de drogas:______________________________________
*cuales:__________________________________________________
8.Fumar/ tomar:___________________________________________
- HISTORIA FAMILIAR
1.Padre:_______________________________________Edad:_______________
Ocupación:________________________________________________________
Adicciones:________________________________________________________
Relación:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
2.Madre:___________________________________________Edad:___________
Ocupación:_________________________________________________________
Adicciones:_________________________________________________________
Relación:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3.Hermanos:___________________ sexo y edad:__________________________
Relación:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
- INFANCIA
1.Descripción de experiencias de su infancia
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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