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109學年度上學期實施家庭訪問調查表
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1.班級：(EX.101)
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Your answer
2.是否實施到府訪問？(是請填1，否請填0)
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Your answer
3.實施到府訪問一般生人次？
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4.實施到府訪問原住民生人次？
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5.實施到府訪問新住民生人次？
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6.是否實施電話訪問？(是請填1，否請填0)
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Your answer
7.實施電話訪問一般生人次？
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8.實施電話訪問原住民生人次？
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9.實施電話訪問新住民生人次？
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10.是否實施個別訪談？(是請填1，否請填0)
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11.實施個別訪談一般生人次？
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12.實施個別訪談原住民生人次？
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13.實施個別訪談新住民生人次？
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14.是否實施其他家庭訪問形式？(EX.聯絡簿、通訊軟體，是請填1，否請填0)
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Your answer
15.實施其他家庭訪問一般生人次？
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16.實施其他家庭訪問原住民生人次？
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17.實施其他家庭訪問新住民生人次？
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