Nama : Pekerjaan :

Gender : Tanggal :

Graph 1 : Graph 2 : Graph 3 :

WORK UNDERPRESSURE SELF IMAGE
MASK
12 12 12
11 11 11
10 10 10
9 9 9
8 8 8
7 7 7
6 6 6
5 5 5
4 4 4
3 3 3
2 2 2
1 1 1
0 0 0
D I S C D I S C
-1 D I S C -1 -1
-2 -2 -2
-3 -3 -3
-4 -4 -4
-5 -5 -5
-6 -6 -6
-7 -7 -7
-8 -8 -8
-9 -9 -9
-10 -10 -10
-11 -11 -11
-12 -12 -12

D I S C *
MOST 0 0 0 0 0

LEAST 0 0 0 0 0

CHANGE 0 0 0 0

HJA STANDAR 4 2 1 1