Section 1 of 2
Form Pengaduan Masyarakat
Aieervita74@gmail.com
Email
This form is collecting emails.Change settings
Section 2 of 2
Laporan Pengaduan
Assalamualaikum kepada bapak ibu yang terhormat , saya mau tanya apakah NIK keluarga saya sudah terdaftar di pusat atau tidak ?? Kenapa setiap ada bantuan kami tidak mendap
Rifkiandika
Rifkiandika
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Jl.gotong royong rt/rw:03/04 No.58 kel/desa.pabuaran kec.gunung sindur bogor
Jl.gotong royong rt/rw:03/04 No.58 kel/desa.pabuaran kec.gunung sindur bogor
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Sensus penduduk
Sensus penduduk
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Keluarga saya sampai saat ini tidak mendapatkan 1 bantuan apapun dari pemerintah,tolong di bantu agar kami sekeluarga terdata dengan baik dan mendapatkan bantuan dari pemerintah terimakasih....🙏🙏
Keluarga saya sampai saat ini tidak mendapatkan 1 bantuan apapun dari pemerintah,tolong di bantu agar kami sekeluarga terdata dengan baik dan mendapatkan bantuan dari pemerintah terimakasih....🙏🙏
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
7oktober2022
7oktober2022
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
Loading...
Kartu Identitas
Kartu Identitas
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Multiple choice grid
Checkbox grid
Date
Time
Loading image…
Add file
View folder
Allow only specific file types
Maximum number of files
1
5
10
Maximum file size
1 MB
10 MB
100 MB
1 GB
10 GB
View folder
Answer key
(0 points)
Loading...
Link to Sheets
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Insights
Total points distribution
Loading...
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
Responses
Manage how responses are collected and protected
Presentation
Manage how the form and responses are presented
Defaults
Form defaults
Settings applied to this form and new forms
Question defaults
Settings applied to all new questions