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110臺中市立四箴國中學生家庭狀況調查表(A)
各位同學，問卷分為二個部分，「基本資料」和「問卷內容」，認真作答，5分鐘就可以完成囉~
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班級
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701
702
703
704
705
706
707
708
709
Other:
性別
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男
女
座號
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Choose
1
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31
姓名
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Your answer
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