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    assesment non kognitif

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    1 views2 pages

    assesment NON KOGNITIF

    Uploaded by

    rasmawati.b
    assesment non kognitif

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    ASSESMEN NON KOGNITIF PESERTA DIDIK

    A. Nama siswa :
    Tempat tanggal lahir :
    Jenis kelamin :
    Alamat :

    1. Nama orang tua :


    Ayah :
    Ibu ;
    2. Pekerjaan orang tua
    Ayah :
    Ibu :
    3. Alamat orang tua
    Ayah :
    Ibu :
    4. Pendidikan terakhir orang tua
    Ayah :
    Ibu :
    5. Jumlah saudara :
    6. Anak ke :
    7. No hp :

    B. ASESMEN PRIBADI SISWA

    1. Apakah kamu kerja sambil Sekolah?


    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………

    2. Jam brpa kamu bangun ?


    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………
    3. Tinggal Bersama siapa ?
    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………
    4. Apakah kamu belajar dirumah malam hari ?
    ………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………….
    5. Berapa lama kamu belajar?
    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………..

    6. Apakah kamu keluar pada malam hari?


    ………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………..
    7. Apa yang kamu lakukan diluar pada malam hari?
    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………
    8. Berapa jam kamu keluar malam?
    ………………………………………………………………………………………………………………
    ……………………………………………………………………………………………………………….
    9. Apa kamu merokok?
    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………
    10.Berapa batang rokok 1 hari?
    ………………………………………………………………………………………………………………
    ………………………………………………………………………………………………………………

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