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  • Survey Umpan Balik TRHDP

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    SHINTA DWI LESTARI
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    This document contains a feedback questionnaire for community activities from the Sumberberas Community Health Center in Banyuwangi Regency, East Java. The questionnaire contains 5 questions that assess participants' level of agreement on a 5-point scale regarding whether the information provided was relevant, the methods used were appropriate, the timing met expectations, the officers delivered effectively, and the location was suitable. The same questionnaire is repeated below.

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    Survey Umpan Balik Trhdp

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    This document contains a feedback questionnaire for community activities from the Sumberberas Community Health Center in Banyuwangi Regency, East Java. The questionnaire contains 5 questions that assess participants' level of agreement on a 5-point scale regarding whether the information provided was relevant, the methods used were appropriate, the timing met expectations, the officers delivered effectively, and the location was suitable. The same questionnaire is repeated below.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    122 views1 page

    Survey Umpan Balik TRHDP

    Uploaded by

    SHINTA DWI LESTARI
    This document contains a feedback questionnaire for community activities from the Sumberberas Community Health Center in Banyuwangi Regency, East Java. The questionnaire contains 5 questions that assess participants' level of agreement on a 5-point scale regarding whether the information provided was relevant, the methods used were appropriate, the timing met expectations, the officers delivered effectively, and the location was suitable. The same questionnaire is repeated below.

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    © All Rights Reserved
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    of 1

    PEMERINTAH KABUPATEN BANYUWANGI

    DINAS KESEHATAN
    UPTD PUSKESMAS SUMBERBERAS
    Jalan Raya Sidomulyo No. 381 SumberberasTelp. ( 0333) 593618
    MUNCAR 68472
    e-mail : sumberberaspkm@yahoo.co.id

    KUESIONER UMPAN BALIK KEGIATAN UKM


    PADA MASYARAKAT/SASARAN
    NAMA KEGIATAN :
    TEMPAT :
    TANGGAL :
    PENILAIAN
    1 2 3 4 5
    N PERTANYAAN Sangat Tidak Setuju Sangat Sang
    O tidak Setuju Setuju at
    setuju Setuju
    Sekali
    1 Informasi/ pelayanan yang disampaikan
    Sesuai dengan yang saya butuhkan
    2 Metode/teknik yang disampaikan sesuai dengan
    harapan
    3 Waktu penyampaian informasi/pelaksanaan
    layanan sesuai dengan jadwal
    4 Petugas mampu menyampaikan
    informasi/pelayanan dengan baik
    5 Tempat yang digunakan untuk pemberian
    informasi/pelayanan sesui kebutuhan.

    ------------------------------------------------------------------------------------------------------------------------

    PEMERINTAH KABUPATEN BANYUWANGI


    DINAS KESEHATAN
    UPTD PUSKESMAS SUMBERBERAS
    Jalan Raya Sidomulyo No. 381 SumberberasTelp. ( 0333) 593618
    MUNCAR 68472
    e-mail : sumberberaspkm@yahoo.co.id

    KUESIONER UMPAN BALIK KEGIATAN UKM


    PADA MASYARAKAT/SASARAN
    NAMA KEGIATAN :
    TEMPAT :
    TANGGAL :
    PENILAIAN
    1 2 3 4 5
    N PERTANYAAN Sangat Tidak Setuju Sangat Sang
    O tidak Setuju Setuju at
    setuju Setuju
    Sekali
    1 Informasi/ pelayanan yang disampaikan
    Sesuai dengan yang saya butuhkan
    2 Metode/teknik yang disampaikan sesuai dengan
    harapan
    3 Waktu penyampaian informasi/pelaksanaan
    layanan sesuai dengan jadwal
    4 Petugas mampu menyampaikan
    informasi/pelayanan dengan baik
    5 Tempat yang digunakan untuk pemberian
    informasi/pelayanan sesui kebutuhan.

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