FAKULTAS KEDOKTERAN
UNIVERSITAS SUMATERA UTARA
INFORMED CONSENT
Penelitian ini telah bermula dari bulan Maret 2010 dan akan berakhir pada bulan
Desember 2010. Saya mohon kesediaan siswa/siswi untuk menguatkan data dari hasil
penelitian saya. Setiap data yang diambil adalah rahasia dan hanya akan digunakan
untuk tujuan penelitian saja. Segala kerjasama yang diberikan siswa/siswi amat saya
hargai.
Medan, ……………………….2010
Peneliti,
FAKULTAS KEDOKTERAN
UNIVERSITAS SUMATERA UTARA
FAKULTAS KEDOKTERAN
UNIVERSITAS SUMATERA UTARA
Tanggal: ............................
KUESIONER PENELITIAN
I. KARATERISTIK RESPONDEN
a) Nomor Responden :
b) Umur Sekarang (Tahun) :
c) Jenis Kelamin :
d) Kelas :
Lampiran 4b
II. CARA DAN KEBIASAAN
Sila tandakan √ pada kotak jawaban anda
1. Adakah anda membersihkan wajah secara teratur?
Ya Tidak
4. Kapan anda membersihkan wajah? (Untuk soal ini, boleh jawab lebih dari satu
jawaban)
Ya Tidak
Dingin Hangat
50 16 Laki- XI 0 1 0 1 1 0 1 0 0 0 4 2 3
laki
51 15 Perem X 1 1 1 1 0 0 1 1 1 1 8 1 2
puan
52 15 Perem X 0 1 1 2 1 0 1 0 1 0 7 0 2
LAMPIRAN 6
pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan pertanyaan total
1 2 3 4 5 6 7 8 9 10 11 12 pertanyaan
pertanyaan 1 Pearson 1 .212 .616** .302 .101 .328 .212 .192 -.453* -.066 -.032 -.325 .494*
Correlation
Sig. (2- .369 .004 .196 .673 .158 .369 .418 .045 .783 .895 .162 .027
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 2 Pearson .212 1 .394 .273 .302 .287 .192 .010 -.179 .066 .453* -.553* .604**
Correlation
Sig. (2- .369 .086 .245 .196 .220 .418 .966 .450 .783 .045 .011 .005
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 3 Pearson .616** .394 1 .273 .302 .492* .192 .212 -.390 -.373 .242 -.378 .652**
Correlation
Sig. (2- .004 .086 .245 .196 .027 .418 .369 .089 .105 .303 .101 .002
tailed)
pertanyaan 4 Pearson .302 .273 .273 1 .286 .117 .416 .302 -.554* -.218 .195 -.412 .587**
Correlation
Sig. (2- .196 .245 .245 .222 .624 .068 .196 .011 .355 .411 .071 .006
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 5 Pearson .101 .302 .302 .286 1 .612** .302 .503* -.524* .000 .105 -.437 .642**
Correlation
Sig. (2- .673 .196 .196 .222 .004 .196 .024 .018 1.000 .660 .054 .002
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 6 Pearson .328 .287 .492* .117 .612** 1 .287 .328 -.471* .134 -.043 -.321 .669**
Correlation
Sig. (2- .158 .220 .027 .624 .004 .220 .158 .036 .574 .858 .168 .001
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 7 Pearson .212 .192 .192 .416 .302 .287 1 .616** -.390 -.154 .242 -.378 .652**
Correlation
Sig. (2- .369 .418 .418 .068 .196 .220 .004 .089 .518 .303 .101 .002
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
Correlation
Sig. (2- .418 .966 .369 .196 .024 .158 .004 .303 .223 .895 .162 .006
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 9 Pearson -.453* -.179 -.390 -.554* -.524* -.471* -.390 -.242 1 .023 -.099 .082 -.595**
Correlation
Sig. (2- .045 .450 .089 .011 .018 .036 .089 .303 .924 .678 .730 .006
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 10 Pearson -.066 .066 -.373 -.218 .000 .134 -.154 -.285 .023 1 -.435 -.210 -.150
Correlation
Sig. (2- .783 .783 .105 .355 1.000 .574 .518 .223 .924 .055 .375 .527
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
pertanyaan 11 Pearson -.032 .453* .242 .195 .105 -.043 .242 -.032 -.099 -.435 1 -.101 .351
Correlation
Sig. (2- .895 .045 .303 .411 .660 .858 .303 .895 .678 .055 .673 .129
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
Correlation
Sig. (2- .162 .011 .101 .071 .054 .168 .101 .162 .730 .375 .673 .007
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
total pertanyaan Pearson .494* .604** .652** .587** .642** .669** .652** .590** -.595** -.150 .351 -.583** 1
Correlation
Sig. (2- .027 .005 .002 .006 .002 .001 .002 .006 .006 .527 .129 .007
tailed)
N 20 20 20 20 20 20 20 20 20 20 20 20 20
Frequencies
Statistics
N Valid 100
Missing 0
Cumulative
Frequency Percent Valid Percent Percent
LAMPIRAN 8
Frequencies
Statistics
N Valid 100
Missing 0
Cumulative
Frequency Percent Valid Percent Percent
Crosstabs
Case Processing Summary
Cases
jenis kelamin * gradasi total skor 100 100.0% 0 .0% 100 100.0%
Count
1 2 3 Total
perempuan 3 36 4 43
Total 6 75 19 100
LAMPIRAN 10
Crosstabs
Case Processing Summary
Cases
Count
perempuan 21 12 7 3 43
Total 36 40 16 8 100
Crosstabs
Case Processing Summary
Cases
2 Count 29 34 10 2 75
3 Count 6 6 4 3 19
a. 6 cells (50.0%) have expected count less than 5. The minimum expected count
is .48.