SURVEY KEPUASAN MASYARAKAT ONLINE PUSKESMAS JANTI

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SURVEY KEPUASAN MASYARAKAT ONLINE PUSKESMAS JANTI

Hai sobat sehat!
Berikut merupakan form survey kepuasan masyarakat secara online terkait pelayanan di Puskesmas Janti
Sampaikan kepuasan anda terhadap pelayanan kami pada form ini

"Kepuasan Masyarakat adalah Semangat Kerja Kami"

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* Indicates required question

Nama *

Your answer

No Telepon/HP/WA *

Your answer

Usia *

Your answer

Jenis Kelamin *

Laki-Laki

Perempuan

Alamat *

Your answer

Pendidikan *

SD/dibawahnya

SMP/MTs/Sederajat

SMA/SMK/MA/Sederajat

Perguruan Tinggi

Pekerjaan *

PNS

TNI

Polri

Swasta

Wirausaha

Other:

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