ENTREVISTA A DOCENTE

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DOCENTE: ____________________________________________________________
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Familia, comportamiento en cursos o colegios , anteriores, situaciones legales, antecedentes
mdicos y psiclogicos:
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Rendimiento acadmico, asignaturas y contenidos en que presenta dificultades, problemas de
aprendizaje o motivacin asociado a la asignatura:
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Desempeo social, sala de clases, recreo, juegos, amistades, percepcin que se tiene de l:
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Participacin familiar, disponibilidad, cooperacin
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FIRMA PSICLOGA
MACARENA ZIGA
REG SECREDUC 65860

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FIRMA DOCENTE