FOME

Family Assessment Tools

Nama : Catur Rahmat Widi Pamungkas

BP : 1510312006

Klp : 9B

Family APGAR

No Almost Sometimes Hardly ever

Always (2) (1) (0)

A I am satisfied that I can turn to my family

for help when something is troubling me.

P I am satisfied with the way my family talks

about things with me and shares
problems with me
G I am satisfied that my family accepts and
supports my wishes to take on new
activities or directions
A I am satisfied with the way my family
expresses affection and responds to my
emotions such as anger, sorrow, and love

R I am satisfied with the way my family and

I share time together.

Who lives in your home?

Name Relationship Age Sex

Ramina Herlinda Mother 55 Female
Tamar Alfarisi Father 59 Male
Roza Asman Son 26 Male
Robi Ardian Son 24 Male
Riko Iskandar Son 24 Male

How do you get along?

Well Fairly Poor

SCREEM

Resource Pathology
Social -
 Cultural Bu Ramina dan Pak Tamar keturunan suku Minang
Religious Hanya Pak Tamar yang rajin ke masjid sedangkan Bu Ramina dan anak
anaknya tidak
Economic -
Educational Pendidikan Terakhir Bu Ramina SD
Pendidikan Terakhir Pak Tamar SD
Dominan semua anak beliau memiliki Pendidikan terakhir SMA/MAN
kecuali Risma dan Rayhardi (anak ke 1 dan 4)
Medical -

Family Lifeline

Tahun Kejadian
1980 Bu Ramina dan Pak Tamar menikah
1983 Bu Ramina melahirkan Risma Reni
1985 Bu Ramina melahirkan Ramadi Susanto
1987 Bu Ramina melahirkan Redi Akseno
1989 Bu Ramina melahirkan Reyhardi
1991 Bu Ramina melahirkan Roza Asman
1993 Bu Ramina melahirkan Roni Effendi
1995 Bu Ramina melahirkan Robi Ardian
1997 Bu Ramina melahirkan Riko Saputra
2010 Ibu dari Bu Ramina meninggal dunia
2013 Ayah dari Bu Ramina meninggal dunia

Family Circle

Ramadi Robi

(anak, 32) (anak, 22)

Reyhardi

Redi Tamar (anak, 28)

Ramina
Riko
(anak, 30) (Ayah, 59) (Ibu, 55)
(anak, 20) R i s m a

( a n a k , 3 4 )

Risma
) Roza (anak, 34)
Roni
ECO Map (anak, 26)
(anak, 24)

Teman
Kerja
 Masjid Kerja

Tamar Ramina

rekreas
Kuliah
i

Roza Robi Riko

Sekola
h Pasar

Olahra Tetang
ga ga