Pedoman Wawancara Untuk Home Visit (2)

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    PEDOMAN WAWANCARA

    UNTUK KEGIATAN KUNJUNGAN RUMAH

    Nama Siswa (Konseli) : ........................................................Nama Anggota keluarga yang:.

    dikunjungi ........................................................Kelas : .Alamat : .

    NoUraian

    Permasalahan

    Jawaban ResponenKe!eran

    "an

    1 Kondisi fsik

    klien(kesehatan,usia,keiasaansehari!hariklien)

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    ................" Keiasaan

    elajar klien dirumah

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    ................#. $ergaulan%hu

    ungan sosialdengananggotakeluarga- dengan

    orang tua

    - saudara

    (adik%kakak)

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    ................&. $ergaulan%hu

    ungan sosialdengan

    tetangga dantemanseayanya

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    ................'. aya

    keluarga............................................................................

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    memoti*asielajar klien

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