Nama : ...............................................................
Usia : ...............................................................
Jenis Kelamin : ............................................................... ....
Sekolah : ...............................................................
Lama Mengajar : ............................................................... ....
Pendidikan : ...............................................................
Alamat Rumah : ...............................................................
Alternatif Jawaban
No. PERNYATAAN
SS S KD P TP
1. Menjelaskan peraturan sekolah
kepada siswa.