NOMBRE_____________________________________________
EDAD______ SEXO______ FECHA DE APLICACIN____/___/___
GRADO ESCOLAR_______________ GRUPO_________________
I. AREA FAMILIAR.
PREGUNTAS
1. Madre
2. Padre
3. Ncleo familiar
12, 20, 35
1, 14, 22, 30
9, 10, 19, 27
TOTAL
Sentimientos de Culpa
Temores
Pasado
Futuro
2, 21, 29, 36
6, 25
8, 13, 18
4, 17, 24, 37
Capacidades
Metas
Superiores
Amigos
15, 23, 28
3, 16, 31, 32
5
7, 11, 26, 33, 34
CONCLUSIONES GENERALES:
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