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BUAH HATI / CITA HATI

SCHOOL

SELF DESCRIPTION FORM


Name : _______________________________________________________________
Fill in the blanks with 20 statements that describe you
1. I ________________________________________________________________________

2. I ________________________________________________________________________

3. I ________________________________________________________________________

4. I ________________________________________________________________________

5. I ________________________________________________________________________

6. I ________________________________________________________________________

7. I ________________________________________________________________________

8. I ________________________________________________________________________

9. I ________________________________________________________________________

10. I ________________________________________________________________________

11. I ________________________________________________________________________

12. I ________________________________________________________________________

13. I ________________________________________________________________________

14. I ________________________________________________________________________

15. I ________________________________________________________________________

16. I ________________________________________________________________________

17. I ________________________________________________________________________

18. I ________________________________________________________________________

19. I ________________________________________________________________________

20. I ________________________________________________________________________

Please Check

Overall I feel :

very unsatisfied unsatisfied rather satisfied

satisfied enough very satisfied

with myself because: ___________________________________________________________

_____________________________________________________________________________

_____________ ,
___________________
Signature

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