ESCOLA MUNICIPAL DR.

JOS ANTNIO NAVARRO LINS

QUESTIONRIO DOS PAIS OU RESPONSVEIS Data: _____/_____/2014

ESCOLA MUNICIPAL DR. JOS ANTNIO NAVARRO LINS

Informaes sobre o nascimento da criana: ________________________________

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Outras informaes importantes: ____________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Os pais vivem: ( ) juntos ( ) separados desde quando? ____________________
Problemas de sade? ( ) no ( ) sim Qual (is)? __________________________
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Quantidade de irmos: _________ Algum deles na escola? Quem? ______________
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Quem mias frequentou escola na famlia? At que curso ou srie? ______________
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O que o aluno relata sobre a escola em casa? _______________________________
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____________________________________________________________________
____________________________________________________________________
O que o aluno relata sobre o professor em
casa? _____________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
O que o aluno relata sobre os colegas em casa? _____________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

QUESTIONRIO DOS PAIS OU RESPONSVEIS Data: _____/_____/2014

Ass.: do responsvel:___________________________________________________
__________________________________________________
Orientao/superviso Escolar

Informaes sobre o nascimento da criana: ________________________________

____________________________________________________________________
____________________________________________________________________
Outras informaes importantes: ____________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
Os pais vivem: ( ) juntos ( ) separados desde quando? ____________________
Problemas de sade? ( ) no ( ) sim Qual (is)? __________________________
____________________________________________________________________
____________________________________________________________________
_
Quantidade de irmos: _________ Algum deles na escola? Quem? ______________
____________________________________________________________________
Quem mias frequentou escola na famlia? At que curso ou srie? ______________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
O que o aluno relata sobre a escola em casa? _______________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
O que o aluno relata sobre o professor em
casa? _____________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
O que o aluno relata sobre os colegas em casa? _____________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Ass.: do responsvel:___________________________________________________

__________________________________________________
Orientao/superviso Escolar