{"id":671,"date":"2026-02-20T16:45:10","date_gmt":"2026-02-20T16:45:10","guid":{"rendered":"https:\/\/audreyrp.com.br\/audreyclinica\/?page_id=671"},"modified":"2026-04-06T20:18:56","modified_gmt":"2026-04-06T20:18:56","slug":"cd2-coleta-de-dados-parte-02","status":"publish","type":"page","link":"https:\/\/audreyrp.com.br\/audreyclinica\/cd2-coleta-de-dados-parte-02\/","title":{"rendered":"(CD2) Coleta de dados parte 02"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"671\" class=\"elementor elementor-671\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4bc187b2 e-flex e-con-boxed wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-column-slider-no wpr-equal-height-no e-con e-parent\" data-id=\"4bc187b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1b22f632 elementor-widget elementor-widget-shortcode\" data-id=\"1b22f632\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-407 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-407\" data-uid=\"6a152a043bd3a\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-407\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-407 forminator-design--default  forminator_ajax\"\r\n\t\t\t\tmethod=\"post\"\r\n\t\t\t\tdata-forminator-render=\"0\"\r\n\t\t\t\tdata-form-id=\"407\"\r\n\t\t\t\t data-color-option=\"theme\" data-design=\"default\" data-grid=\"open\" style=\"display: none;\"\r\n\t\t\t\tdata-uid=\"6a152a043bd3a\"\r\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a152a043bd3a\" id=\"forminator-field-name-1_6a152a043bd3a-label\" class=\"forminator-label\">1. Nome completo <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a152a043bd3a\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-20\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-20_6a152a043bd3a\" id=\"forminator-field-textarea-20_6a152a043bd3a-label\" class=\"forminator-label\">1. Voc\u00ea possui alguma condi\u00e7\u00e3o m\u00e9dica atual ou hist\u00f3rica relevante? (Doen\u00e7as cr\u00f4nicas, cirurgias, hospitaliza\u00e7\u00f5es, traumas f\u00edsicos) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-20\" placeholder=\"\" id=\"forminator-field-textarea-20_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-21\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-21_6a152a043bd3a\" id=\"forminator-field-textarea-21_6a152a043bd3a-label\" class=\"forminator-label\">2. Voc\u00ea faz uso de alguma medica\u00e7\u00e3o atualmente? Quais? (Nome, dosagem, motivo, quem prescreveu) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-21\" placeholder=\"\" id=\"forminator-field-textarea-21_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-22\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-22_6a152a043bd3a\" id=\"forminator-field-textarea-22_6a152a043bd3a-label\" class=\"forminator-label\">3. Voc\u00ea utiliza algum tipo de subst\u00e2ncia psicoativa (\u00e1lcool, tabaco, energ\u00e9tico, cafe\u00edna, maconha, coca\u00edna, etc.)? Se sim, qual(is), com que frequ\u00eancia e quantidade? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-22\" placeholder=\"\" id=\"forminator-field-textarea-22_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-23\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-23_6a152a043bd3a\" id=\"forminator-field-textarea-23_6a152a043bd3a-label\" class=\"forminator-label\">4. Voc\u00ea j\u00e1 teve alguma les\u00e3o na cabe\u00e7a, perda de consci\u00eancia, convuls\u00f5es ou epilepsia? Se sim, descreva. <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-23\" placeholder=\"\" id=\"forminator-field-textarea-23_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-24\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-24_6a152a043bd3a\" id=\"forminator-field-textarea-24_6a152a043bd3a-label\" class=\"forminator-label\">5. Voc\u00ea j\u00e1 realizou exames neurol\u00f3gicos (resson\u00e2ncia, tomografia, eletroencefalograma)? Se sim, qual(is) e quais foram os resultados? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-24\" placeholder=\"\" id=\"forminator-field-textarea-24_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-25\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-25_6a152a043bd3a\" id=\"forminator-field-textarea-25_6a152a043bd3a-label\" class=\"forminator-label\">6. Voc\u00ea possui alguma defici\u00eancia sensorial (vis\u00e3o, audi\u00e7\u00e3o) ou motora? Faz uso de lentes, aparelho auditivo, pr\u00f3teses ou outros aux\u00edlios? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-25\" placeholder=\"\" id=\"forminator-field-textarea-25_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-26\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-26_6a152a043bd3a\" id=\"forminator-field-textarea-26_6a152a043bd3a-label\" class=\"forminator-label\">7. Voc\u00ea j\u00e1 teve ou tem algum diagn\u00f3stico psiqui\u00e1trico formal (depress\u00e3o, ansiedade, transtorno bipolar, esquizofrenia, TDAH, etc.)? Qual(is) e quando foi diagnosticado(s)? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-26\" placeholder=\"\" id=\"forminator-field-textarea-26_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-27\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-27_6a152a043bd3a\" id=\"forminator-field-textarea-27_6a152a043bd3a-label\" class=\"forminator-label\">8. Voc\u00ea j\u00e1 realizou algum tratamento psicol\u00f3gico ou psiqui\u00e1trico anteriormente? Quais, por quanto tempo e com que resultados? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-27\" placeholder=\"\" id=\"forminator-field-textarea-27_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-28\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-28_6a152a043bd3a\" id=\"forminator-field-textarea-28_6a152a043bd3a-label\" class=\"forminator-label\">9. Voc\u00ea j\u00e1 teve pensamentos ou tentativas de suic\u00eddio? Se sim, descreva brevemente. <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-28\" placeholder=\"\" id=\"forminator-field-textarea-28_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-29\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-29_6a152a043bd3a\" id=\"forminator-field-textarea-29_6a152a043bd3a-label\" class=\"forminator-label\">10. Como voc\u00ea descreveria seu humor na maior parte do tempo? (Tristeza, irritabilidade, alegria, des\u00e2nimo, ansiedade, etc.) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-29\" placeholder=\"\" id=\"forminator-field-textarea-29_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-30\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-30_6a152a043bd3a\" id=\"forminator-field-textarea-30_6a152a043bd3a-label\" class=\"forminator-label\">11. Voc\u00ea percebe alguma dificuldade para se concentrar, manter a aten\u00e7\u00e3o ou completar tarefas? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-30\" placeholder=\"\" id=\"forminator-field-textarea-30_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-31\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-31_6a152a043bd3a\" id=\"forminator-field-textarea-31_6a152a043bd3a-label\" class=\"forminator-label\">12. Voc\u00ea tem problemas de mem\u00f3ria (lembrar nomes, datas, compromissos, o que leu ou ouviu recentemente, informa\u00e7\u00f5es antigas)? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-31\" placeholder=\"\" id=\"forminator-field-textarea-31_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-32\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-32_6a152a043bd3a\" id=\"forminator-field-textarea-32_6a152a043bd3a-label\" class=\"forminator-label\">13. Voc\u00ea sente que seu racioc\u00ednio, sua capacidade de resolver problemas ou de planejar est\u00e3o diferentes do que costumavam ser? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-32\" placeholder=\"\" id=\"forminator-field-textarea-32_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-33\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-33_6a152a043bd3a\" id=\"forminator-field-textarea-33_6a152a043bd3a-label\" class=\"forminator-label\">14. Voc\u00ea percebe mudan\u00e7as na sua linguagem (empobrecimento do vocabul\u00e1rio, dificuldade para expressar ideias)? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-33\" placeholder=\"\" id=\"forminator-field-textarea-33_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-34\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-34_6a152a043bd3a\" id=\"forminator-field-textarea-34_6a152a043bd3a-label\" class=\"forminator-label\">15. Voc\u00ea se sente impulsivo(a) ou age sem pensar nas consequ\u00eancias? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-34\" placeholder=\"\" id=\"forminator-field-textarea-34_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-35\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-35_6a152a043bd3a\" id=\"forminator-field-textarea-35_6a152a043bd3a-label\" class=\"forminator-label\">16. Voc\u00ea tem dificuldade em controlar a raiva ou a irritabilidade? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-35\" placeholder=\"\" id=\"forminator-field-textarea-35_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-36\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-36_6a152a043bd3a\" id=\"forminator-field-textarea-36_6a152a043bd3a-label\" class=\"forminator-label\">17. Voc\u00ea tem dificuldade para se colocar no lugar do outro ou entender as emo\u00e7\u00f5es alheias? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-36\" placeholder=\"\" id=\"forminator-field-textarea-36_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-37\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-37_6a152a043bd3a\" id=\"forminator-field-textarea-37_6a152a043bd3a-label\" class=\"forminator-label\">18. Voc\u00ea j\u00e1 vivenciou situa\u00e7\u00f5es traum\u00e1ticas? Se sim, como voc\u00ea lidou\/lida com elas? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-37\" placeholder=\"\" id=\"forminator-field-textarea-37_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-38\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-38_6a152a043bd3a\" id=\"forminator-field-textarea-38_6a152a043bd3a-label\" class=\"forminator-label\">19. Voc\u00ea j\u00e1 vivenciou perdas significativas? Se sim, como voc\u00ea lidou\/lida com elas? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-38\" placeholder=\"\" id=\"forminator-field-textarea-38_6a152a043bd3a\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><div class=\"forminator-row forminator-row-last\"><div class=\"forminator-col\"><div class=\"forminator-field\"><button class=\"forminator-button forminator-button-submit\">Enviar mensagem<\/button><\/div><\/div><\/div><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"bedf4e57b2\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/audreyclinica\/wp-json\/wp\/v2\/pages\/671\" \/><input type=\"hidden\" name=\"form_id\" value=\"407\"><input type=\"hidden\" name=\"page_id\" value=\"671\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/audreyrp.com.br\/audreyclinica\/cd2-coleta-de-dados-parte-02\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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