Pedoman Wawancara Untuk Home Visit
3
PEDOMAN WAWANCARA UNTUK KEGIATAN KUNJUNGAN RUMAH Nama Klien : SR 09/IX Nama Anggota kelaurga yang : Ayah dikunjungi Kelas : VIII Alamat : Yogyakarta NO Uraian Permasalahan Jawaban Responden / Keterang an 1 Kondisi fisik klien (kesehatan, usia, kebiasaan sehai-hari klien) ................................ ................................ ............. ................................ ................................ ............. ................................ ................................ ............. ................................ ................................ ............. 2 Kebiasaan belajar klien di rumah ................................ ................................ ............. ................................ ................................ ............. ................................ ................................ ............. ................................ ................................ ............. 3. Pergaulan/ hubungan sosial dengan anggota keluarga - dengan orang tua - saudara ................................ ................................ ............. ................................ ................................ ............. ................................ ................................ .............
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Transcript of Pedoman Wawancara Untuk Home Visit
PEDOMAN WAWANCARA
UNTUK KEGIATAN KUNJUNGAN RUMAH
Nama Klien : SR 09/IXNama Anggota kelaurga yang : AyahdikunjungiKelas : VIIIAlamat : Yogyakarta
NOUraian
PermasalahanJawaban Responden / Keterangan
1 Kondisi fisik klien (kesehatan, usia, kebiasaan sehai-hari klien)
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2 Kebiasaan belajar klien di rumah
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.............................................................................3. Pergaulan/
hubungan sosial dengan anggota keluarga - dengan orang
tua- saudara
(adik/kakak)
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4. Pergaulan/hubungan sosial dengan tetangga dan teman sebayanya.
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5. Upaya keluarga memotivasi belajar klien
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.............................................................................6. Dukungan
keluarga terhadap belajar klien
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.............................................................................Yogyakarta, 31 Oktober 2009
Kepala Sekolah, Perencana Kegiatan,
............................................ SuratmaNIP. NIP. .
