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  • Cheklist Umpan Balik Kegiatan

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    dianezh
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    This document is a checklist in Bahasa Indonesia used to collect feedback on activities conducted by the Grabagan Public Health Center in Tuban, East Java. It contains 14 yes or no questions about whether participants understood the activity's purpose and process, whether the location and materials were suitable, whether the schedule and content were appropriate, and whether the activity was conducted on time and in an accessible place. It concludes by thanking respondents and requesting suggestions for future improvements.

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    ceklist umpan balik kegiatan

    Original Title

    1. Cheklist Umpan Balik Kegiatan

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    This document is a checklist in Bahasa Indonesia used to collect feedback on activities conducted by the Grabagan Public Health Center in Tuban, East Java. It contains 14 yes or no questions about whether participants understood the activity's purpose and process, whether the location and materials were suitable, whether the schedule and content were appropriate, and whether the activity was conducted on time and in an accessible place. It concludes by thanking respondents and requesting suggestions for future improvements.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    24 views2 pages

    Cheklist Umpan Balik Kegiatan

    Uploaded by

    dianezh
    This document is a checklist in Bahasa Indonesia used to collect feedback on activities conducted by the Grabagan Public Health Center in Tuban, East Java. It contains 14 yes or no questions about whether participants understood the activity's purpose and process, whether the location and materials were suitable, whether the schedule and content were appropriate, and whether the activity was conducted on time and in an accessible place. It concludes by thanking respondents and requesting suggestions for future improvements.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    1

    PEMERINTAH KABUPATEN TUBAN


    DINAS KESEHATAN
    UPTD PUSKESMAS GRABAGAN
    Jalan Raya Grabagan – Rengel, Kecamatan Grabagan
    email: puskesmasgrabagan@yahoo.co.id
    TUBAN 62373

    CHECK LIST UMPAN BALIK KEGIATAN

    PROGRAM : ......................................................
    KEGIATAN : .......................................................
    TANGGAL : .......................................................
    NAMA RESPONDEN : ……………………………

    Skala Jawaban
    No Pertanyaan
    Ya Tidak

    1 Apakah anda mengerti kegiatan apa yang anda ikuti saat ini ?

    2 Apakah anda mengerti tujuan kegiatan yang anda ikuti saat ini ?

    3 Apakah anda mengerti cara / tahapan dalam mengikuti kegiatan ini ?

    4 Apakah anda mengerti jadwal kegiatan yang anda ikuti saat ini ?

    Apakah anda mengerti tentang materi / informasi yang telah disampaikan


    5
    pada kegiatan saat ini ?

    Apakah tempat yang digunakan untuk kegiatan saat ini sudah sesuai yang
    6
    ada diundangan ?

    Apakah alat yang digunakan untuk kegiatan saat ini sudah sesuai dengan
    7
    kegiatan ?

    Apakah metode atau cara yang digunakan untuk kegiatan saat ini sudah
    8
    sesuai ?

    Apakah materi kegiatan yang disampaikan sudah sesuai dengan


    9
    kegiatan ?

    10 Apakah media yang digunakan petugas sudah sesuai dengan kegiatan ?

    Apakah jadwal pelaksanaan kegiatan sudah sesuai dengan jadwal yang


    11
    ditetapkan ?

    Apakah peserta yang hadir sudah sesuai dengan kegiatan yang


    12
    dilaksanakan ?

    13 Apakah kegiatan ini dilaksanakan tepat waktu ?

    14 Apakah menurut anda tempat kegiatan ini mudah dijangkau ?


    1

    MOHON MASUKAN ANDA UNTUK PERBAIKAN KEGIATAN INI SELANJUTNYA :

    Terima Kasih Saya Sampaikan

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