PEDOMAN WAWANCARA
UNTUK KEGIATAN KUNJUNGAN RUMAH
Nama Klien : SR 09/IX
Nama Anggota kelurga yang : Ayah
dikunjungi
Kelas : VIII
Alamat : Kudus
| NO | Uraian Permasalahan | Jawaban Responden / | Keterangan |
| 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 (adik/kakak) | ............................................................................. ............................................................................. ............................................................................. ............................................................................. ............................................................................. ............................................................................. ............................................................................. | |
| 4. | Pergaulan/hubungan sosial dengan tetangga dan teman sebayanya. | ............................................................................. ............................................................................. ............................................................................. ............................................................................. | |
| 5. | Upaya keluarga memotivasi belajar klien | ............................................................................. ............................................................................. ............................................................................. ............................................................................. | |
| 6. | Dukungan keluarga terhadap belajar klien | ............................................................................. ............................................................................. ............................................................................. ............................................................................. | |
Mengetahui, Manggarai, September 2014
Kepala SMP N 6 Cibal Guru BK
Aloysius Odi, S.Pd. Muhammad Safiul Umam
NIP. 19750520 200604 1 021 NIP.
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