Page 50 - คู่มือระบบดูแลช่วยเหลือนักเรียน โรงเรียนบ้านกุดนาค้อ
P. 50

50


                                                 แบบบันทึกการให้คำปรึกษา



                   นักเรียนชื่อ...................................................สกุล.........................................ชั้น...................../................

                   วัน  เดือน  ปี.............................................เวลา.........................................น.
                   ประเภทของปัญหา      การเรียน
                                       การปรับตัว

                                       บุคลิกภาพ
                                       พฤติกรรม
                                        อื่น ๆ  (ระบุ).........................................................................................................
                   ประวัติส่วนตัว / ครอบครัว

                   .............................................................................................................................................................................
                   .............................................................................................................................................................................
                   ..........................................................................................................................................................................

                   ข้อมูลการเรียน
                   ..........................................................................................................................................................................
                   .............................................................................................................................................................................
                   ...........................................................................................................................................................................
                   ...........................................................................................................................................................................

                   สภาพปัญหา
                   .............................................................................................................................................................................
                   .............................................................................................................................................................................

                   ......................................................................................................................................................................
                   วิธีการให้คำปรึกษา / ช่วยเหลือ
                   .............................................................................................................................................................................
                   .............................................................................................................................................................................

                   .............................................................................................................................................................................
                   .............................................................................................................................................................................
                   .......................................................................................................................................................................
                   ผลการติดตาม / การนัดหมาย

                   .............................................................................................................................................................................
                   .............................................................................................................................................................................
                   .......................................................................................................................................................................





                                                       ลงชื่อ.....................................................................ผู้ให้คำปรึกษา
                                                             (........................................................................)
   45   46   47   48   49   50   51   52   53   54   55