401. a Apakah status kepemilikan bangunan tempat tinggal yang ditempati
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401. a Apakah status kepemilikan bangunan tempat tinggal yang ditempati
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[1] Milik sendiri
[2] Kontrak/sewa
[3] Bebas sewa
[4] Dinas
[5] Lainnya
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Jika 401.a berkode 1, apa jenis bukti kepemilikan tanah bangunan tempat tinggal ini
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Jika 401.a berkode 1, apa jenis bukti kepemilikan tanah bangunan tempat tinggal ini
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[1] SHM a.n. Anggota keluarga
[2] SHM bukan a.n. Anggota keluarga
[3] Sertifikat selain SHM (SHGB, SHSRS)
[4] Surat bukti lainnya (Girik, Letter C, dll)
[5] Tidak punya
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402. Apakah bahan bangunan utama lantai rumah terluas
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402. Apakah bahan bangunan utama lantai rumah terluas
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1.
[1] Marmer/granit
2.
[2] Keramik
3.
[3] Parket/Vinil/Karpet
4.
[4] Ubin/tegel/teraso
5.
[5] Kayu/papan
6.
[6] Semen/bata merah
7.
[7] Bambu
8.
[8] Tanah
9.
[9] Lainnya
1.
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10.
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403. Apakah bahan bangunan utama dinding rumah terluas
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403. Apakah bahan bangunan utama dinding rumah terluas
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1.
[1] Tembok
2.
[2] Plesteran anyaman bambu/kawat
3.
[3] Kayu/papan
4.
[4] Anyaman bambu
5.
[5] Batang kayu
6.
[6] Bambu
7.
[7] Lainnya
1.
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404. Apakah bahan bangunan utama atap rumah terluas
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404. Apakah bahan bangunan utama atap rumah terluas
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1.
[1] Beton
2.
[2] Genteng
3.
[3] Seng
4.
[4] Asbes
5.
[5] Bambu
6.
[6] Kayu/sirap
7.
[7] Jerami/ijuk/daun-daunan/rumbia
8.
[8] Lainnya
1.
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405. a. Apakah sumber utama penerangan keluarga ini
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405. a. Apakah sumber utama penerangan keluarga ini
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[1] Listrik PLN dengan meteran
[2] Listrik PLN tanpa meteran
[3] Listrik Non PLN
[4] Bukan Listrik
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405. b. Berapa daya terpasangan
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405. b. Berapa daya terpasangan
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1.
[1] 450 Watt
2.
[2] 900 Watt
3.
[3] 1.300 Watt atau lebih
1.
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406. Apakah jenis bahan bakar utama yang digunakan untuk memasak
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406. Apakah jenis bahan bakar utama yang digunakan untuk memasak
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1.
[1] Listrik
2.
[2] LPG 5,5 Kg
3.
[3] LPG 12 Kg
4.
[4] LPG 3 Kg
5.
[5] Minyak tanah
6.
[6] Kayu bakar
7.
[7] Lainnya
8.
[0] Tidak memasak di rumah
1.
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407. Apakah alat angkut sampah dan tempat pembuangan sampah yang ada
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407. Apakah alat angkut sampah dan tempat pembuangan sampah yang ada
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[1] Tempat sampah kemudian diangkut
[2] Dalam lubang atau dibakar
[3] Sungai/saluran irigasi/danau/laut
[4] Drainase (got/selokan)
[5] Lainnya
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408. Apakah memiliki fasilitas tempat buang air besar dan siapa saja yang menggunakannya
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408. Apakah memiliki fasilitas tempat buang air besar dan siapa saja yang menggunakannya
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[1] Ada, digunakan hanya ART sendiri
[2] Ada, digunakan bersama ART keluarga tertentu
[3] Ada, di MCK komunal
[4] Ada, di MCK umum/siapapun menggunakan
[5] Ada, ART tidak menggunakan
[6] Tidak ada fasilitas
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409. Apa sumber air utama yang digunakan keluarga untuk mandi/cuci/dll
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409. Apa sumber air utama yang digunakan keluarga untuk mandi/cuci/dll
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1.
[1] Air kemasan bermerk
2.
[2] Air isi ulang
3.
[3] Leding
4.
[4] Sumur bor/pompa
5.
[5] Sumur terlindung
6.
[6] Sumur tak terlindung
7.
[7] Mata air terlindung
8.
[8] Mata air tak terlindungi
9.
[9] Air permukaan (Sungai/danau/waduk/kolam)
10.
[10] Air hujan
11.
[11] Lainnya
1.
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410. Apa sumber air utama yang digunakan keluarga untuk minum
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410. Apa sumber air utama yang digunakan keluarga untuk minum
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1.
[1] Air kemasan bermerk
2.
[2] Air isi ulang
3.
[3] Leding
4.
[4] Sumur bor/pompa
5.
[5] Sumur terlindung
6.
[6] Sumur tak terlindung
7.
[7] Air permukaan (Sungai/danau/waduk/kolam)
8.
[8] Air hujan
9.
[9] Lainnya
1.
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411. Jika pertanyaan 409/410 menjawab kode [3], apakah menggunakan sumber air dari PDAM
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411. Jika pertanyaan 409/410 menjawab kode [3], apakah menggunakan sumber air dari PDAM
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[1] Ya, menggunakan PDAM dengan perpipaan meteran
[2] Ya, Menggunakan PDAM tetapi perpipaan tanpa meteran
[3] Tidak menggunakan PDAM
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412. Rumah berada di bantaran sungai
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412. Rumah berada di bantaran sungai
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[1] Ya
2.
[2] Tidak
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414. Apakah keluarga ini menerima bantuan BLT DD
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414. Apakah keluarga ini menerima bantuan BLT DD
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[1] Ya
2.
[2] Tidak
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415. Dalam setahun terakhir apakah keluarga ini pernah menjadi penerima Program Keluarga Harapan (PKH)
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415. Dalam setahun terakhir apakah keluarga ini pernah menjadi penerima Program Keluarga Harapan (PKH)
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[1] Ya
2.
[2] Tidak
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416. Apakah keluarga ini pernah menjadi penerima Program BPNT/Program Sembako yang disalurkan melalui Bank atau PT Pos
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416. Apakah keluarga ini pernah menjadi penerima Program BPNT/Program Sembako yang disalurkan melalui Bank atau PT Pos
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[1] Ya
2.
[2] Tidak
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417. Apakah ada anggota keluarga yang menerima Program Indonesia Pintar (PIP) selama tahun 2024
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417. Apakah ada anggota keluarga yang menerima Program Indonesia Pintar (PIP) selama tahun 2024
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[1] Ya
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[2] Tidak
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418. Apakah ada anggota keluarga yang menerima bantuan Program Rumah Tidak Layak Huni (RTLH)
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418. Apakah ada anggota keluarga yang menerima bantuan Program Rumah Tidak Layak Huni (RTLH)
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[1] Ya
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[2] Tidak
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NAMA KEPALA KELUARGA
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NO. KK
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NAMA SLS
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401. a Apakah status kepemilikan bangunan tempat tinggal yang ditempati
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Jika 401.a berkode 1, apa jenis bukti kepemilikan tanah bangunan tempat tinggal ini
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402. Apakah bahan bangunan utama lantai rumah terluas
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403. Apakah bahan bangunan utama dinding rumah terluas
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404. Apakah bahan bangunan utama atap rumah terluas
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405. a. Apakah sumber utama penerangan keluarga ini
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405. b. Berapa daya terpasangan
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406. Apakah jenis bahan bakar utama yang digunakan untuk memasak
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407. Apakah alat angkut sampah dan tempat pembuangan sampah yang ada
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408. Apakah memiliki fasilitas tempat buang air besar dan siapa saja yang menggunakannya
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409. Apa sumber air utama yang digunakan keluarga untuk mandi/cuci/dll
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410. Apa sumber air utama yang digunakan keluarga untuk minum
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411. Jika pertanyaan 409/410 menjawab kode [3], apakah menggunakan sumber air dari PDAM
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412. Rumah berada di bantaran sungai
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414. Apakah keluarga ini menerima bantuan BLT DD
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415. Dalam setahun terakhir apakah keluarga ini pernah menjadi penerima Program Keluarga Harapan (PKH)
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416. Apakah keluarga ini pernah menjadi penerima Program BPNT/Program Sembako yang disalurkan melalui Bank atau PT Pos
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417. Apakah ada anggota keluarga yang menerima Program Indonesia Pintar (PIP) selama tahun 2024
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418. Apakah ada anggota keluarga yang menerima bantuan Program Rumah Tidak Layak Huni (RTLH)
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