Kelompok :...............................................................................................
Judul :.............................................................................................
Tanggal :.............................................................................................
Skala Penilaian :
Sangat Kurang Kurang Cukup Baik Sangat Baik
1 2 3 4 5 6
Nilai
No Aspek Penilaian Bobot Angka Nilai Akhir
(B) (A) (B x A)
2 Komunikasi terapeutik 20
5 Kekompakankelompok 15
TOTAL