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[{"$nulls":5},"生活に関すること",null,"住居環境",{"$nulls":7},"　自宅　　社宅　　借家　　その他（　　　　　　　　　　　　　　　　　　　　　　　　　）"]
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[{"$nulls":7},"主として養育した人",{"$nulls":7},"　母　　祖母"]
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[{"$nulls":7},"園外でよく遊ぶ友達",{"$nulls":7},"　兄妹　　年上の子　　年下の子　　同年代　　その他（　　　従妹　　　　　　　）"]
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[{"$nulls":7},"好きな遊び",{"$nulls":5},"屋内",null,"　おままごと　　テレビ"]
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[{"$nulls":13},"戸外",null,"　散歩　　雪遊び"]
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[{"$nulls":13},"短所",null,"　イヤイヤすることがある"]
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[{"$nulls":7},"くせ",null,null,null,"おもらし",null,null,null,"なし",{"$nulls":9},"吃音",null,null,null,"なし"]
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[{"$nulls":11},"指しゃぶり",null,null,null,"寝るときにする",{"$nulls":9},"つめ噛み",null,null,null,"なし"]
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[{"$nulls":11},"利き手",null,null,null,"まだ両方使うが右が多い",{"$nulls":9},"その他",null,null,null,"特に無し"]
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[{"$nulls":7},"気になる特徴",{"$nulls":7},"　おもちゃを投げる事がある"]
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[{"$nulls":7},"睡眠について",{"$nulls":7},"　就寝・起床時間　　　21:00-7:00　　　　　　/　　昼寝時間　　10時と３時くらい"]
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[{"$nulls":7},"排せつについて",{"$nulls":7},"　大便　　1回（　毎日　数日　それ以上　）　　/　　小便１日　　　　6回"]
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[{"$nulls":7},"おむつの使用状況",{"$nulls":7},"　１日中　　夜のみ　　出先のみ　　その他（　　　　　　　　　　　　　　　　　　　）　"]
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[{"$nulls":5},"食事に関すること",null,"好きな物",{"$nulls":7},"　ハンバーグ　　牛乳　　　お菓子全般"]
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[{"$nulls":7},"嫌いな物",{"$nulls":7},"　酸っぱい系はあまり食べない"]
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[{"$nulls":7},"食事量",{"$nulls":7},"　多い　　普通　　　少ない　　備考（　　　好き嫌いで差が激しい　　　　　　　）"]
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[{"$nulls":7},"食べ方",{"$nulls":7},"　早い　　普通　　　遅い　　遊びがち　　備考（　　遅くても食べきります　　）"]
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[{"$nulls":7},"食物アレルギー",{"$nulls":7},"　なし　　 あり（具体的に：　卵アレルギーですが、通院し除去なし　　）"]
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[{"$nulls":5},"健康に関すること",null,"かかりやすい病気",{"$nulls":7},"　中耳炎　　風邪"]
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[{"$nulls":7},"体温について",{"$nulls":7},"　平熱：　36.7　　　　　体調不良のサイン（ 機嫌が悪くなり抱っこをせがむ　）"]
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[{"$nulls":7},"どれくらい話せるか",{"$nulls":7},"　あー、うーに混じって、パパ、ママが出て来ている"]
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[{"$nulls":7},"どれくらい歩けるか",{"$nulls":7},"　近くの公園まで一人で歩くが、帰りは抱っこが多い"]
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[{"$nulls":7},"治療中の病気があるか",{"$nulls":7},"　ない　　ある（具体的に：　アレルギーで月１診療所に診察へ行く　　　　　）"]
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[{"$nulls":7},"既往歴\n（怪我含む）",null,null,null,"耳下腺炎",null,null,null,"水痘",null,null,null,"麻疹",null,null,null,"風疹",null,null,null,"百日咳",null,null,null,"肺炎",null,null,null,"ひきつけ"]
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[{"$nulls":11},"便秘",null,null,null,"脱臼",null,null,null,"喘息",null,null,null,"その他"]
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[{"$nulls":5},"備考",null,"上記以外に伝えたい事があれば、こちらに書いて下さい。\n\n　　　心臓検査で波形の異常が見られたので、激しい運動の際は様子を見てください。"]
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[{"$nulls":5},"保育所で受理した個人情報は、緊急連絡や状況の確認、他機関との連携など業務目的以外には使用しません。"]