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แบบสัมภาษณ์แบบไม่มีโครงสร้าง
แผ่นที่ ..............................
วันที่.............................เดือน.......................................พ.ศ............................เวลา............................
สถานที่ สัมภาษณ์ บ้านเลขที่.....................หมู่ที่...........................ตําบล...........................................
อําเภอ............................................................จังหวัด..........................................................................
ผู ้ ร่ วมสนทนา
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ผู ้สัมภาษณ์
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บันทึ กรายละเอียด
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สรุ ป – ข้อสังเกต
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ผู ้ สัมภาษณ์ .................................
วันที่ ..............เดือน.........................พ.ศ................