Uji Pemeriksaan Penyalahgunaan Narkoba – Remaja

April 17, 2020

<div><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkhvDt223lv1deUlwnXq09C9qo3VE1t0VPkPba3UQ_Mq6jWKyMZEDrKPbAezn2cq65tK403AGTLwwC_cq5bTs9oA_4WRKNHYMPF3A9UFK4AN1SDTKb7FE1VabmgjnWt8PF3yDKC5MX51KG/s1600/s5_logo.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="60" data-original-width="446" height="43" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjkhvDt223lv1deUlwnXq09C9qo3VE1t0VPkPba3UQ_Mq6jWKyMZEDrKPbAezn2cq65tK403AGTLwwC_cq5bTs9oA_4WRKNHYMPF3A9UFK4AN1SDTKb7FE1VabmgjnWt8PF3yDKC5MX51KG/s320/s5_logo.png" width="320" /></a></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-size: 14.0pt;"><br /></span></b></div>
<div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG" style="font-size: 14.0pt;">DAST- A (Uji Pemeriksaan Penyalahgunaan
Narkoba – Remaja)<o:p></o:p></span></b></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: right;">
<span lang="EN-SG" style="font-size: 12.0pt;">Nama:<span style="mso-tab-count: 2;">             </span>_____________________________<o:p></o:p></span></div>
<div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: right;">
<span lang="EN-SG" style="font-size: 12.0pt;">Tanggal:<span style="mso-tab-count: 1;">          </span>_____________________________<o:p></o:p></span></div>
<div align="right" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: right;">
<span lang="EN-SG" style="font-size: 12.0pt;">Skor:<span style="mso-tab-count: 2;">                </span>_____________________________<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<table border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 1184;">
 <tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">       </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda
  pernah menggunakan obat-obatan selain yang diperlukan untuk keperluan medis?</span><span lang="EN-SG"><o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 1;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="mso-bidi-font-family: Calibri;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">       </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda
  pernah menyalahgunakan obat-obatan resep?</span><span lang="EN-SG"><o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 2;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">     
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah menyalahgunakan lebih dari satu
  obat sekaligus?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 3;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">     
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda mampu melalui satu minggu tanpa
  menggunakan obat (selain yang</span><span lang="EN-SG" style="font-size: 11.5pt; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt;"> </span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">diperlukan untuk keperluan
  medis)?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Ya<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Tidak<o:p></o:p></span></b></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 4;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">     
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda selalu bisa menghentikan penggunaan
  narkoba ketika diinginkan?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Ya<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Tidak<o:p></o:p></span></b></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 5;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">     
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda mengonsumsi narkoba secara
  berkelanjutan?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 6;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">     
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah mencoba untuk membatasi
  penggunaan narkoba dalam situasi tertentu?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 7;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">     
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah "pingsan" atau
  mengalami "<i>flashbacks</i>" (sorot balik) sebagai akibat dari
  penggunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 8;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">     
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah merasa buruk tentang penggunaan
  Anda terhadap narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 9;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah pacar atau orang tua Anda pernah mengeluh
  tentang keterlibatan Anda dengan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 10;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah teman atau keluarga Anda mengetahui atau
  mencurigai Anda mengonsumsi narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 11;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Pernahkah penyalahgunaan narkoba menimbulkan
  masalah antara Anda dan pacar atau orang tua Anda?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 12;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Adakah anggota keluarga yang meminta bantuan untuk
  masalah Anda yang terkait dengan penggunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 13;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah kehilangan teman karena
  penyalahgunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 14;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah mengabaikan keluarga atau
  pekerjaan Anda karena penggunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 15;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">16.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah mengalami masalah di tempat
  kerja karena penyalahgunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 16;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">17.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah dikeluarkan dari sekolah atau
  kehilangan pekerjaan karena penyalahgunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 17;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">18.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah terlibat dalam perkelahian
  ketika berada di bawah pengaruh narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 18;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">19.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah ditangkap karena perilaku yang
  tidak wajar saat berada di bawah pengaruh narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 19;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">20.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah ditangkap karena mengemudi saat
  berada di bawah pengaruh narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 20;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">21.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah terlibat dalam kegiatan ilegal
  untuk mendapatkan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 21;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">22.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah ditangkap atas kepemilikan
  obat-obatan terlarang?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 22;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">23.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah mengalami gejala ketagihan obat
  akibat konsumsi narkoba berat?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 23;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">24.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah mengalami masalah kesehatan
  akibat penggunaan narkoba (misalnya, kehilangan memori, hepatitis, kejang,
  atau perdarahan)?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 24;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">25.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah meminta bantuan seseorang untuk
  mengatasi permasalahan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 25;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">26.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah dirawat di rumah sakit karena
  masalah medis yang terkait dengan penggunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 26;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">27.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Apakah Anda pernah terlibat dalam program
  perawatan khusus yang terkait dengan penggunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
<tr style="mso-yfti-irow: 27; mso-yfti-lastrow: yes;">
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 381.7pt;" valign="top" width="509">
  <div class="MsoListParagraph" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; mso-add-space: auto; mso-list: l0 level1 lfo1; tab-stops: 8.55pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-family: Calibri; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">28.<span style="font: 7.0pt "Times New Roman";">  
  </span></span></span><span lang="EN-SG" style="font-size: 11.5pt; mso-bidi-font-size: 11.0pt;">Pernahkah Anda rawat jalan untuk masalah yang
  terkait dengan penyalahgunaan narkoba?<o:p></o:p></span></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 33.5pt;" valign="top" width="45">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Ya<o:p></o:p></span></b></div>
</td>
  <td style="padding: 0cm 5.4pt 0cm 5.4pt; width: 35.6pt;" valign="top" width="47">
  <div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: center;">
<span lang="EN-SG">Tidak<o:p></o:p></span></div>
</td>
 </tr>
</tbody></table>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-SG">Penilaian: </span></b><span lang="EN-SG">Setiap item cetak tebal = 1
poin<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; text-align: justify;">
<span lang="EN-SG"><span style="mso-tab-count: 1;">                </span><span style="mso-spacerun: yes;">     </span>6 atau lebih = masalah penggunaan zat
(penyalahgunaan atau ketergantungan)<b style="mso-bidi-font-weight: normal;"><o:p></o:p></b></span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm;">
<br /></div>
<br /></div>

No comments

BNN LIDO

Uji Pemeriksaan Penyalahgunaan Narkoba – Remaja

Recent Big Posts

Facebook Page

Categories

Tags Cloud

Latest

Random

Comments

4/Food

Popular Posts