Anda di halaman 1dari 9

KUESIONER

Riwayat Hidup
Nama

: ......................................................

Jenis kelamin

: ......................................................

Tempat/tanggal lahir : ......................................................


Usia

: ......................................................

Alamat/No.Telp

: ......................................................
......................................................

Lulus S1 pada bulan/ : ......................................................


tahun/jurusan
Urutan Kelahiran

: Anak ke dari bersaudara

Berasal dari suku

: ......................................................

Nama Ayah

: ......................................................

Ayah dari suku

: ......................................................

Pekerjaan

: ......................................................

Penghasilan/bulan

: ......................................................

Nama Ibu
Ibu dari suku

: ......................................................
: ......................................................

Pekerjaan
Penghasilan/bulan

: ......................................................
: ......................................................

Tinggal di Jawa selama


Status saat ini

: ......................................................

: ......................................................

Harapan orangtua
(setelah anda lulus S1)

: ......................................................

Pertanyaan
Isilah titik-titik di bawah ini dengan jawaban yang sesuai dengan kondisi
yang sebenarnya !
1. Apa yang anda pikirkan terhadap diri anda sendiri ketika belum memperoleh
pekerjaan tetap?
Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Hal apa saja yang anda lakukan dalam menghadapi situasi anda yang belum
memperoleh pekerjaan tetap?
Jawab : .............................................................................................................
...
..............................................................................................................

..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Apa saja yang menjadi penyebab anda belum memperoleh pekerjaan tetap?

Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................

..

Bagaimana peran keluarga dalam permasalahan anda tersebut?


Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Bagaimanakah sikap dan pandangan lingkungan sekitar terhadap anda?


Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...

..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Bagaimana perasaan anda dengan sikap dan pandangan lingkungan sekitar


terhadap anda? Bagaimana tindakan anda?
Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Dalam rentang waktu antara lulus dan belum bekerja ini kegiatan apa saja yang

telah anda lakukan?


Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Halangan-halangan apa saja yang anda dapatkan dalam mencari pekerjaan


hingga saat ini?
Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................

..
.............................................................................................................
...
..............................................................................................................
..

Apa saja usaha yang anda lakukan saat menghadapi halangan-halangan dalam
mendapatkan pekerjaan?
Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Apakah anda pernah berpikir untuk berhenti berusaha? Mengapa?


Jawab : .............................................................................................................

...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..

Apakah ada keyakinan dalam diri anda akan dapat mengubah situasi lama tidak
kunjung mendapat pekerjaan? Seperti apa bentuk keyakinan tersebut?
Jawab : .............................................................................................................
...
..............................................................................................................
..
.............................................................................................................
...
..............................................................................................................
..
.............................................................................................................

...
..............................................................................................................
..