Nomor

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Nama

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Tgl. Lahir

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Pendidikan

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Tgl. Pemeriksanaan : .................................................................................................................................

MELENGKAPKAN KALIMAT
INTRUKSI :
Bacalah kalimat-kalimat yang belum sempurna di bawah ini dan tulislah di
belakang pikiran pertama yang timbul pada saudara.
Bekerjalah secepat mungkin
1. Saya rasa, bahwa ayahku jarang...........................................................................................................
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2. Bila keadaan saya tidak memungkinkan, saya.....................................................................................
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3. Saya selalu mempunyai keinginan untuk.............................................................................................
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4. Andaikata saya ditugaskan untuk.........................................................................................................
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5. Bagi saya hari depan.............................................................................................................................
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6. Atasan saya...........................................................................................................................................
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7. Saya insyaf, bahwa hal tersebut janggal, tetapi saya takut akan..........................................................
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8. Seorang teman sejati, saya rasa............................................................................................................
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9. Waktu saya masih anak-anak...............................................................................................................

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10. Seorang wanita yang sempurna saya gambarkan sebagai....................................................................
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11. Bila saya melihat seorang perempuan bersama seorang laki-laki........................................................
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12. Dibandingkan dengan kebanyakan keluarga, keluargaku....................................................................
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13. Ditempat kerja, saya paling cocok dengan...........................................................................................
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14. Ibuku.....................................................................................................................................................
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15. Saya bersedia menjalankan apapun untuk melupakan waktu di mana saya.........................................
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16. Sekiranya ayahku hanya.......................................................................................................................
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17. Saya yakin, bahwa saya mempunyai kemampuan untuk.....................................................................
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18. Saya akan senang kalau........................................................................................................................
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19. Bila ada orang bekerja untuk saya........................................................................................................
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20. Saya menantikan dengan penuh harapan..............................................................................................
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21. Di sekolah, guru-guru saya...................................................................................................................
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22. Kebanyakan teman-teman tidak mengetahui, bahwa saya takut akan..................................................
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23. Saya tidak senang terhadap orang yang................................................................................................

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24. Dahulu saya..........................................................................................................................................
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25. Saya kira kebanyakan gadis..................................................................................................................
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26. Mengenal kehidupan perkawinan perasaan saya adalah......................................................................
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27. Keluargaku memperlakukan saya sebagai............................................................................................
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28. Teman sekerja saya adalah...................................................................................................................
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29. Ibuku dan saya......................................................................................................................................
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30. Kesalahan saya yang terbesar adalah....................................................................................................
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31. Saya ingin ayahku.................................................................................................................................
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32. Kelemahan saya yang terbesar adalah..................................................................................................
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33. Dalam hidup ini hasrat keinginan saya yang terpendam adalah...........................................................
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34. Orang-orang yang bekerja untuk saya..................................................................................................
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35. Pada suatu hari saya akan.....................................................................................................................
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36. Bila saya melihat pemimpin (atasan langsung) saya datang................................................................
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37. Saya ingin sekali menghilangkan ketakutan saya akan........................................................................

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38. Orang-orang yang sangat saya sukai....................................................................................................
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39. Andaikata saya muda kembali..............................................................................................................
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40. Saya percaya kebanyakan wanita.........................................................................................................
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41. Umpamanya saya mempunyai hubungan seksuil.................................................................................
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42. Kebanyakan keluarga yang saya kenal.................................................................................................
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43. Saya senang bekerja dengan orang yang..............................................................................................
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44. Saya kira, kebanyakan ibu....................................................................................................................
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45. Pada waktu saya lebih muda saya merasa berdosa mengenai..............................................................
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46. Saya rasa, bahwa ayahku......................................................................................................................
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47. Bila saya mengalami nasib malang......................................................................................................
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48. Pada waktu memberi perintah kepada orang lain saya.........................................................................
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49. Yang sangat saya inginkan dari hidup..................................................................................................
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50. Bila usiaku lebih tua.............................................................................................................................
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51. Mereka saya anggap sebagai atasan saya.............................................................................................
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52. Rasa ketakutan saya kadang-kadang memaksa saya untuk..................................................................
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53. Bila saya tidak ada, teman-teman saya.................................................................................................
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54. Kenangan yang paling jelas mengenai masa kanak-kanak saya...........................................................
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55. Tentang soal wanita saya sama sekali tidak menyukai.........................................................................
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56. Kehidupan seksui saya..........................................................................................................................
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57. Waktu saya masih seorang anak, keluargaku.......................................................................................
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58. Orang-orang yang bekerja dengan saya biasanya.................................................................................
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59. Saya suka kepada ibuku, tetapi.............................................................................................................
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60. Hal yang terburuk yang pernah saya lakukan.......................................................................................
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