SURVEY PELAYANAN KANTOR KESEHATAN PELABUHAN KELAS II BANTEN
SURVEY OF SERVICES OF PORT HEALTH QUARANTINE OFFICE CLASS II BANTEN 
Sign in to Google to save your progress. Learn more
Terima kasih anda telah menggunakan jasa pelayanan di KKP Kelas II Banten. Dalam rangka evaluasi kinerja pelayanan kami, mohon untuk mengisi survey di bawah ini
Thank you for using Port Health Quarantine Office Class II Banten services. For evaluating our services, please fill out the form below
Nama | Name
*
Instansi | Agency/Institution *
Kontak | Contact (Telephone/ e-mail) *
Apakah anda puas dengan pelayanan petugas KKP Kelas II Banten?
Are you satisfied with services of Port Health Quarantine Officer in Banten?
*
Apakah ada tindakan pemerasan  dalam proses pelayanan dari petugas Karantina kesehatan?
Was there any extortion during the service process from the health quarantine officer?
*
Jika ada pemerasan, apa tindakan yang dilakukan? 
If there was exortion, what kind of action was taken
Kapan tindakan dilakukan? Dan siapa nama petugasnya?
When was the extortion happened? Who is the name of officer?
Apa saran Anda untuk kami?
What is your suggestion for us?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.