Universidad de San Carlos de Guatemala

Centro Universitario Metropolitano CUM-

Escuela de Ciencias Psicolgicas
Departamento de Prctica
Ciclo 2017
ENTREVISTA INICIAL PARA NIOS.

No. De Expediente: ____________________________

DATOS GENERALES

Fecha de la Entrevista: _____________________________________________________

Nombre completo: _________________________________________________________

Fecha de nacimiento: ________________ Edad: ________________ Gnero: F M

Nombre de la Institucin Educativa: ___________________________________________

Nivel que cursa: ___________________Grado: ________________ Seccin: _________

Nombre del Maestro(a): ____________________________________________________

MOTIVO DE CONSULTA

Sabes por qu ests aqu?

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Por qu crees que estas aqu?

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DE LA FAMILIA

Con quin vives?

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Qu es lo que ms te gusta de tu familia?

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Hay algo que no te agrade de tu familia?

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Con quin te llevas mejor?

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Universidad de San Carlos de Guatemala
Centro Universitario Metropolitano CUM-
Escuela de Ciencias Psicolgicas
Departamento de Prctica
Ciclo 2017

Qu actividades realizan juntos?

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CENTRO EDUCATIVO
Qu es lo que te gusta de la escuela (colegio)?

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Cmo te llevas con tus maestros?

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Qu materias te gustan ms? Por qu?

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Qu clases no te gustan? Por qu?

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Qu actividades te gustan ms de la escuela?

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Tienes amigos ac en la escuela?

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SOCIAL E INTERESES
Quines son tus mejores amigos(as)?
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Universidad de San Carlos de Guatemala
Centro Universitario Metropolitano CUM-
Escuela de Ciencias Psicolgicas
Departamento de Prctica
Ciclo 2017

Te gusta jugar solo o acompaado?

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De qu te gusta jugar?
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Qu te gusta hacer cuando tienes tiempo libre?
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Qu msica te gusta escuchar?
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DE LA COMUNIDAD
Cmo es el lugar por dnde vives?
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Qu es lo que ms te gusta del lugar dnde vives?
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F._______________________________________
Elisabet Quevedo.
Carnet: 201500944.