Nama : Kota Tes :

Tanggal : No Peserta / No Asesor :

E-COMPLETION QUESTIONNAIRE
Lengkapilah kalimat-kalimat di bawah ini dengan PIKIRAN/ PENDAPAT PERTAMA yang MUNCUL di benak Anda !

1. Saya pernah menghadapi kendala terbesar yang menghambat tujuan saya atau target saya, yaitu ketika
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Target saya adalah................................................................................................................................................................
Kendala tersebut terjadi karena...........................................................................................................................................
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Yang saya lakukan pada saat itu adalah ...............................................................................................................................
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Dampaknya adalah ..............................................................................................................................................................
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2. Nilai-nilai atau aturan yang paling sulit saya terapkan adalah…….…………………………………………………………………………..………

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Hal tersebut terjadi karena ....……………………………………………………………………………………………………………………………………….
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Contoh dari situasi tersebut.................................................................................................................................................
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Kemudian tindakan yang saya lakukan …………………………………………………………………………………………………………………..……...
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Dampaknya adalah …………………………………………………………………………………………………………………………………………………………
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3. Pengalaman paling menantang saat saya melakukan kerja sama dengan rekan atau fungsi lain ketika ………………...……..
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Tantangannya saat itu adalah …………………………………………………………..................................................................................
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Tindakan saya adalah ………………………………………………………………….......................................................................................
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Hasilnya ………………………………………………………………………………..............................................................................................
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4. Saya pernah memiliki ide perbaikan atau terobosan, yaitu …………………………………………………………………………………………….
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Peluang yang saya lihat adalah ………………………………………………………………………….…………………………………………………………..
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Tindakan saya …………………………………………………………………...................……..........................................................................
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Kendala yang ada ………………………………………………………………………….…………………………………………………………….….................
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Hasilnya ………………………………………………………………………………........……................................................................................
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5. Pengalaman saya ketika menghadapi berbagai tugas pada saat yang sama terjadi ketika ………………………………………………
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Tugas-tugas tersebut adalah ………………………………………………………………………………………………………………………………………….
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Yang saya lakukan ………………………………………………………………………………………………………………………………………………………….
Hal yang luput dari antisipasi saya ……………………………………………………………………………………………………………………….…………
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Kemudian ………………………………………………………………………………………………………………………………………………………………….…..
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Akhirnya …………………………………………………………………………………………………………………………………………………………………………
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6. Saya pernah mengalami suatu tantangan atau tekanan yang menurut saya sulit, yaitu…………………..................................
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Kesulitannya adalah ……………………………………………………………………….…….............................................................................
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Yang saya lakukan …………………………………………………………………...……...................................................................................
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Hasil yang saya dapatkan ………………………………………………………………………..........................................................................
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7. Saya pernah melihat suatu penyimpangan yang terjadi di lingkungan saya, yaitu ……………………………….………………………...
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Hal itu terjadi diakibatkan …………………………………………………………………………………………………………………………….……………...
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Yang bisa saya lakukan …………………………………………………………………….……………...................................................................
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Dan hasilnya ……………………………………….………………………………………………………………………………………………………….……………...
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Antisipasi saya ke depan ……………………………………………………………………………………………………………..………………..……………....
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8. Saya pernah berhasil menjalankan suatu tugas bersama tim, yaitu ketika ……………………………………………………………………..
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Kontribusi saya adalah …………………………………………………………………………………...................................................................
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Masalah atau konflik yang terjadi di dalam tim …………………………………………..…………….......................................................
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Solusi yang waktu itu diambil …………………………………………………………….…………….................................................................
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9. Pihak yang saya anggap perlu saya layani di kegiatan organisasi atau perusahaan adalah………………………………………......
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Pengalaman paling menarik dalam melayani mereka terjadi ketika ……………………..……………...........................................
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Tindakan yang saya lakukan waktu itu ………………………………………………………………….........................................................
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Hasilnya ………………………………………………………………………………………………….........................................................................
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Antisipasi ke depannya …………………………………………………………………….……………................................................................
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10. Sebagaimana layaknya semua orang, saya pernah melakukan suatu pelanggaran, yaitu …………….....................................
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Hal tersebut terjadi karena ………………………………………………………………...……………..............................................................
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Dampak dari pelanggaran tersebut ke diri saya adalah …………………………………...…………….................................................
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Sementara dampaknya ke orang lain ……………………………………………………...…………….........................................................
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Yang saya lakukan setelah pelanggaran itu terjadi adalah ………………………………………………………………………….…………….....
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11. Salah satu permasalahan paling rumit yang pernah saya hadapi di pekerjaan atau kampus adalah………........................
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Hal tersebut terjadi karena ………………………………………………………………………………………………………………………...…………….....
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Yang saya lakukan …………………………………...……………..........................................................................................................
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Pengetahuan atau ketrampilan yang belum saya miliki terkait masalah ini adalah………………………………….........................
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Tindakan saya ………………………………..……………......................................................................................................................
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Hasilnya ………………………………………………………………………………………………………………………………………………………………..……….
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12. Saya menilai ada suatu sistem atau cara kerja di sekitar saya yang sudah tidak tepat atau harus diganti, yaitu…….........
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Yang sudah saya lakukan ……………………………………………………………………….…………………………………………………..……...............
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Saya melihat dampaknya adalah ……………………………………………………………………..………………………………………..……................
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