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    Form Jawaban Kuesioner Penjarkes

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    yulianakirana
    This document appears to be a health screening questionnaire for elementary school students. It contains sections to collect information on the student's health history, immunization history, family health history, lifestyle, reproductive health, mental health, intelligence, and areas for education or counseling. The questionnaire collects identifying information on the student and school and includes many questions across various health topics to assess the overall health and wellness of the student.

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    © All Rights Reserved
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    Form Jawaban Kuesioner Penjarkes

    Uploaded by

    yulianakirana
    18 views1 page
    This document appears to be a health screening questionnaire for elementary school students. It contains sections to collect information on the student's health history, immunization history, family health history, lifestyle, reproductive health, mental health, intelligence, and areas for education or counseling. The questionnaire collects identifying information on the student and school and includes many questions across various health topics to assess the overall health and wellness of the student.

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    form jawaban

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    This document appears to be a health screening questionnaire for elementary school students. It contains sections to collect information on the student's health history, immunization history, family health history, lifestyle, reproductive health, mental health, intelligence, and areas for education or counseling. The questionnaire collects identifying information on the student and school and includes many questions across various health topics to assess the overall health and wellness of the student.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    18 views1 page

    Form Jawaban Kuesioner Penjarkes

    Uploaded by

    yulianakirana
    This document appears to be a health screening questionnaire for elementary school students. It contains sections to collect information on the student's health history, immunization history, family health history, lifestyle, reproductive health, mental health, intelligence, and areas for education or counseling. The questionnaire collects identifying information on the student and school and includes many questions across various health topics to assess the overall health and wellness of the student.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    You are on page 1of 1

    RAHASIA

    JAWABAN KUESIONER PENJARINGAN KESEHATAN PESERTA DIDIK SEKOLAH DASAR

    IDENTITAS
    Nama Sekolah : Kelas :
    Alamat :
    Nama Siswa : Jenis Kelamin :
    Tanggal Lahir : Usia :

    A. Riwayat Kesehatan B. Riwayat Imunisasi C. Riwayat Kes. Keluarga D. Gaya Hidup


    1 1 1 1
    2 2 2 2
    3 3 3 3
    4 4 4 4
    5 5 5
    6 6
    7 7 E. Kesehatan Reproduksi
    8 8 Puteri
    9 9 1
    10 10 2
    11 11 3
    12 4
    5
    F. Kes. Mental Emosional G. Kes Intelegensia
    1 G.1. Modalitas Belajar G.2. Dominasi Otak Putera
    2 1 1 1
    3 2 2 2
    4 3 3 3
    5 4 4
    6 5 5 Bahan Edukasi/konseling yang
    7 6 6 ingin diketahui
    8 7 7 .........................................
    9 8 8 .........................................
    10 9 9 .........................................
    11 10 10 .........................................
    12 11 11 .........................................
    13 12 12 .........................................
    14 13 13
    15 14 14
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    25 24

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