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  • Encuesta

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    Gerardo Moncada Useche
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    Se pretende identificar la conformación familiar del Educando

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    Se pretende identificar la conformación familiar del Educando

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as ODT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    41 views1 page

    Encuesta

    Uploaded by

    Gerardo Moncada Useche
    Se pretende identificar la conformación familiar del Educando

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as ODT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    CUESTIONARIO PARA OBSERVACIN FAMILIAR

    Alumno______________________________

    Edad_______

    Curso_____

    1. Estructura familiar. (Completa los datos siguientes)


    1.1. Nombre del padre___________________________________________________
    Vive_______ Edad_______ Profesin_________________________________
    Estudios: _________________________________________________________
    Horario Laboral: ____________________________________________________
    1.2. Nombre de madre___________________________________________________
    Vive_______ Edad________ Profesin_______________________________
    Estudios___________________________________________________________
    Horario laboral______________________________________________________
    1.3. Hijos (completa los datos, sealando si alguno no vive en casa):
    Nombre

    Edad

    Estudios

    1.4. Otras personas que vivan en la casa:


    Nombre

    Edad

    Parentesco

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