Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SURVEY KEPUASAN MASYARAKAT
TERMASUK KRITIK, SARAN DAN MASUKAN UNTUK BERKEMBANGNYA DESA AMPEL
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Apakah Anda Puas Dengan Pelayanan Desa Ampel
*
Choose
Tidak
Cukup Puas
Sangat Puas
Pelayanan Apa Yang Anda Ajukan
*
Your answer
Siapa Yang Melayani Anda
*
Choose
HR. OPENDI.,S,Pd
HR. YAYANG OPENDI.,SH
MUHAMAD ATA
KASMAN
ANNA NURDIANINGSIH
ASEP SUPRIYADI
MARBA SUBRATA
H. SUTRISNO
TALAM
DIDI MASYUDI
WARIH YOGA KHOLID
MUHAMAD SA'AD
WEDI
JAENUDIN.,S.Kom.I
MOHAMAD TARJAN SUPRIADI
Bagaimana Pelayanannya
*
Your answer
Mohon Berikan Kritik dan Saran Untuk Kami Evaluasi
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report