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FORMAT LAPORAN

DENVER DEVELOPMENT SCREENING TEST (DDST)

Nama Mahasiswa :………………………………

NIM :………………………………

1. Identitas Anak
a. Inisial:………………………………………………………………………………
b. Jenis kelamin:……………………………………………………………………….
c. Usia: Tuliskan cara perhitungan usia anak
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2. Identitas Orang Tua


a. Inisial:………………………………………………………………………………
b. Usia:………………………………………………………………………………..
c. Alamat:……………………………………………………………………………..

3. Interpretasi Penilaian pada masing-masing sector


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4. Pengambilan kesimpulan
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5. Intervensi
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6. Terlampir lembar DDST dan petunjuk pelaksanaan


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