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SURVEI KEPUASAN MASYARAKAT (SKM)
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Nama
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Tanggal Survei
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Jam Survei
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Jenis Kelamin
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Pendidikan
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Pekerjaan
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Jenis Layanan yang Diterima
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1. Bagaimana pendapat Saudara tentang kesesuaian
persyaratan pelayanan dengan jenis pelayanannya?
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2.
Bagaimana pemahaman Saudara tentang kemudahan
prosedur pelayanan di unit ini?
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3.
Bagaimana pendapat Saudara tentang kecepatan
waktu dalam memberikan pelayanan?
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4.
Bagaimana pendapat Saudara tentang kewajaran
biaya/tarif dalam pelayanan?
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5.
Bagaimana pendapat Saudara tentang kesesuaian
produk pelayanan antara yang tercantum dalam
standar pelayanan dengan hasil yang diberikan?
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6.
Bagaimana pendapat Saudara tentang kompetensi/
kemampuan petugas dalam pelayanan?
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7.
Bagamana pendapat saudara perilaku petugas dalam
pelayanan terkait kesopanan dan keramahan?
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8.
Bagaimana pendapat Saudara tentang tersedianya Maklumat Pelayanan?
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9.
Bagaimana pendapat Saudara tentang penanganan
pengaduan pengguna layanan?