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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?
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Kritik dan Saran
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