PERFIL DO ESTADO DE HUMOR DA CRIANÇA PORTADORA DA SÍNDROME DE CRI DU CHAT

Nome do Portador

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Data de Nascimento

Idade

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Esse questionário tem como objetivo avaliar o comportamento diário da criança portadora da Síndrome de Cri Du Chat.

Utilizar a escala: 1 - NUNCA 2 - AS VEZES 3 - SEMPRE

ALEGRE

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ATENCIOSO

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ATIVO

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ANIMADO

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ALERTA

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FELIZ

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SIMPÁTICO

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PRESTATIVO

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SOLIDÁRIO

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ATENTO

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DISPOSTO

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EFICIENTE

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ENERGÉTICO

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LÚCIDO

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AMIGO

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TENSO

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ZANGADO

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CANSADO

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INFELIZ

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TENSO

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CONFUSO

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DESINTERESSADO

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DESATENTO

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PERTURBADO

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TRÊMULO

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DEPRIMIDO

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TRISTE

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RELAXADO

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IRRITADO

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FATIGADO

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NERVOSO

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SOLITÁRIO

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ATRAPALHADO

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EXAUSTO

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ANSIOSO

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BRIGUENTO

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FURIOSO

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MAL HUMORADO

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ESQUECIDO

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APAVORADO

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MELANCÓLICO

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DESESPERADO

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VINGATIVO

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REBELDE

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