INTELLECTUAL OUTPUT 2 English version

CHAPTER II Appendix 4e INDIVIDUAL AID SHEET intervention tool 1.Date ………………………………………………………………………………………….. 2. Student’s name…………………………………………………………………….. Class teacher…………………………………………..,class:..……………… 3. The student came for help: alone thanks to friends’ persuasion thanks to the teacher’s persuasion thanks to the parents’ persuasion thanks to the teacher’s recommendation 4. The problem: …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. ………………………………………………………………………………………………… …………………………………………………………………………………………………. …………………………………………………………………………………………………. 5. Initial diagnosis: …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. ………………………………………………………………………………………………… 6. Actions taken: …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. ………………………………………………………………………………………………… Remarks: …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. …………………………………………………………………………………………………. ………………………………………………………………………………………………….

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