Usia Responden
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Jenis Kelamin
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1.
Laki- Laki
2.
Perempuan
3.
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Pendidikan Terakhir
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1.
Tidak Tamat SD
2.
SD
3.
SMP
4.
SMA
5.
DIPLOMA
6.
SARJANA
7.
PASCA SARJANA
8.
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Pekerjaan
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1.
PETANI
2.
PEDAGANG
3.
TNI
4.
POLRI
5.
PNS
6.
KARYAWAN
7.
WIRASWASTA
8.
LAINNYA*
9.
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Jenis Layanan Yang diterima
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1. Bagaimana Pendapat Saudara tentang Kesesuaian Syarat yang harus dipenuhi dengan jenis pelayanan yang di mohon ?
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Tidak Sesuai
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Sesuai
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2. Bagaimana Pemahaman Saudara tentang Alur Prosedur dalam Pengurusan Suatu Jenis Pelayanan Unit Ini?
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Tidak Mudah
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Mudah
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3. Bagaimana Pendapat Saudara tentang Kesesuaian Antara Standar Waktu yang Ditetapkan dengan Kenyataan dalam Penyelesaian suatu Jenis Pelayanan ?
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4. Bagaimana pendapat saudara tentang besaran biaya / tarif atas suatu jenis pelayanan ?
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Sangat Mahal / Tidak sesuai dengan yang ditetapkan
Cukup Mahal / Kurang sesuai dengan yang ditetapkan
Murah meskipun kurang sesuai dengan yang ditetapkan
Sesuai tarif yang ditetapkan ( bagi Pelayanan yang berbiaya ) / gratis ( bagi pelayanan yang tidak berbayar )
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5. Bagaimana pendapat saudara tentang hasil pelayanan yang diberikan atau diterima pengguna layanan sesuai dengan ketentuan yang telah tercantum dalam standar pelayanan ?
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Tidak Sesuai
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6. Bagaimana Pendapat Saudara tentang Kompetensi / Kemampuan Petugas dalam Memberikan Pelayanan ?
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Tidak Memiliki Kompetensi / Kemampuan
Kurang Memiliki Kompetensi / Kemampuan
Memiliki Kompetensi / Kemampuan
Sangat Kompeten / mampu
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7. Bagaimana Pendapa Saudara perilaku petugas dalam pelayanan terkait kesopanan dan keramahan ?
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