文档介绍：儿童情况调查表
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the ( ) ⑤商业工作( ) ⑥军人( )
⑦社会服务工作( ) ⑧企事业工人( )
⑨农林牧渔劳动( ) ⑩个体经营( )
待业( ) 退休( )
其他( ) 说明：
(3)身体情况：
①健康( ) ②一般( ) ③有病( )说明：
(4)精神状态：
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
①健全( )②智力缺陷( )
③狂躁、抑郁、精神分裂( )说明：
④神经官能症( ) ⑤癫痫( ) ⑥脾气古怪( )
⑦酗酒( ) ⑧***( ) ⑨其他( )说明：
(5)居住情况：
①与子女同住( ) ②不常同住( ) ③不同住( )
(6)个性特点：
①外向( ) ②中间( ) ③内向( )
(7)嗜烟：①是( ) ②否( )说明：
嗜酒：①是( ) ②否( )说明：
(8)与子女关系：
①亲热( ) ②一般( ) ③疏远( ) ④不融洽(
3．父母婚姻及生育情况
(1)结婚年龄：
①父亲( )岁 ②母亲（ ）岁
(2)初产年龄：
①父亲( )岁 ②母亲（ ）岁
(3)血缘关系：
①无血缘关系( ) ②远亲( ) ③近亲( )
(4)婚姻是：
①自由恋爱( ) ②父母包办( )③环境所迫( )
④其他( )说明：
(5)夫妻关系：
of rural drinking water sources, protection of drinking water sources in rural areas by the end of the delimitation of the scope of protection, complete with warning signs, isolating network protection facilities
of rural drinking water sources, protection of drinking water sou