{"id":676,"date":"2026-02-20T16:51:44","date_gmt":"2026-02-20T16:51:44","guid":{"rendered":"https:\/\/audreyrp.com.br\/audreyclinica\/?page_id=676"},"modified":"2026-04-06T20:18:56","modified_gmt":"2026-04-06T20:18:56","slug":"cd3-coleta-de-dados-parte-03","status":"publish","type":"page","link":"https:\/\/audreyrp.com.br\/audreyclinica\/cd3-coleta-de-dados-parte-03\/","title":{"rendered":"(CD3) Coleta de dados parte 03"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"676\" class=\"elementor elementor-676\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37e7355a 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=\"37e7355a\" 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-6c3a6909 elementor-widget elementor-widget-shortcode\" data-id=\"6c3a6909\" 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-408 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-408\" data-uid=\"6a1528e64a509\"><br\/><\/div><form\r\n\t\t\t\tid=\"forminator-module-408\"\r\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-408 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=\"408\"\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=\"6a1528e64a509\"\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_6a1528e64a509\" id=\"forminator-field-name-1_6a1528e64a509-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_6a1528e64a509\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" autocomplete=\"name\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-39\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-39_6a1528e64a509\" id=\"forminator-field-textarea-39_6a1528e64a509-label\" class=\"forminator-label\">1. Com quem voc\u00ea mora atualmente? (Detalhe grau de parentesco) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-39\" placeholder=\"\" id=\"forminator-field-textarea-39_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-40\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-40_6a1528e64a509\" id=\"forminator-field-textarea-40_6a1528e64a509-label\" class=\"forminator-label\">2. Como voc\u00ea descreveria a din\u00e2mica e os relacionamentos em sua fam\u00edlia de origem e em sua fam\u00edlia atual? (Pontos fortes, desafios, conflitos) <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-40\" placeholder=\"\" id=\"forminator-field-textarea-40_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-41\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-41_6a1528e64a509\" id=\"forminator-field-textarea-41_6a1528e64a509-label\" class=\"forminator-label\">3. H\u00e1 hist\u00f3rico de doen\u00e7as neurol\u00f3gicas, psiqui\u00e1tricas, defici\u00eancia intelectual ou transtornos de uso de subst\u00e2ncias na sua fam\u00edlia? Se sim, em quem e qual o diagn\u00f3stico? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-41\" placeholder=\"\" id=\"forminator-field-textarea-41_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-42\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-42_6a1528e64a509\" id=\"forminator-field-textarea-42_6a1528e64a509-label\" class=\"forminator-label\">4. Voc\u00ea se sente apoiado(a) por sua fam\u00edlia ou amigos? Possui uma rede de apoio social? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-42\" placeholder=\"\" id=\"forminator-field-textarea-42_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-43\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-43_6a1528e64a509\" id=\"forminator-field-textarea-43_6a1528e64a509-label\" class=\"forminator-label\">1. Voc\u00ea teve dificuldades escolares na inf\u00e2ncia ou adolesc\u00eancia (leitura, escrita, matem\u00e1tica)? Se sim, quais? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-43\" placeholder=\"\" id=\"forminator-field-textarea-43_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-44\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-44_6a1528e64a509\" id=\"forminator-field-textarea-44_6a1528e64a509-label\" class=\"forminator-label\">2. Voc\u00ea j\u00e1 repetiu alguma s\u00e9rie ou ano escolar? Qual(is) e por qu\u00ea? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-44\" placeholder=\"\" id=\"forminator-field-textarea-44_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-45\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-45_6a1528e64a509\" id=\"forminator-field-textarea-45_6a1528e64a509-label\" class=\"forminator-label\">3. Quais foram suas principais \u00e1reas de interesse e desempenho na escola? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-45\" placeholder=\"\" id=\"forminator-field-textarea-45_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-46\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-46_6a1528e64a509\" id=\"forminator-field-textarea-46_6a1528e64a509-label\" class=\"forminator-label\">4. Como voc\u00ea se adaptava ao ambiente escolar e se relacionava com colegas e professores? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-46\" placeholder=\"\" id=\"forminator-field-textarea-46_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-47\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-47_6a1528e64a509\" id=\"forminator-field-textarea-47_6a1528e64a509-label\" class=\"forminator-label\">5. Descreva sua trajet\u00f3ria profissional. Quais foram seus trabalhos mais significativos? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-47\" placeholder=\"\" id=\"forminator-field-textarea-47_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-48\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-48_6a1528e64a509\" id=\"forminator-field-textarea-48_6a1528e64a509-label\" class=\"forminator-label\">6. Voc\u00ea j\u00e1 teve dificuldades de desempenho no trabalho devido a problemas de aten\u00e7\u00e3o, mem\u00f3ria, organiza\u00e7\u00e3o ou relacionamento? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-48\" placeholder=\"\" id=\"forminator-field-textarea-48_6a1528e64a509\" class=\"forminator-textarea\" style=\"--forminator-textarea-min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-49\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-49_6a1528e64a509\" id=\"forminator-field-textarea-49_6a1528e64a509-label\" class=\"forminator-label\">7. Voc\u00ea possui h\u00e1bitos de leitura, escrita ou outras atividades que estimulem o racioc\u00ednio? <span class=\"forminator-required\">*<\/span><\/label><textarea name=\"textarea-49\" placeholder=\"\" id=\"forminator-field-textarea-49_6a1528e64a509\" 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=\"87f3a8c89f\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/audreyclinica\/wp-json\/wp\/v2\/pages\/676\" \/><input type=\"hidden\" name=\"form_id\" value=\"408\"><input type=\"hidden\" name=\"page_id\" value=\"676\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/audreyrp.com.br\/audreyclinica\/cd3-coleta-de-dados-parte-03\/\"><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":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","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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