SURVEI KEPUASAN PELANGGAN

PUSKESMAS REJOSARI
Apakah anda puas dengan pelayanan kami :
RUANG PENDAFTARAN
a.PUAS b.Tidak PUAS
bila Tidak PUAS berikan alasannya :
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RUANG PENGOBATAN UMUM
a. PUAS b. Tidak PUAS
bila tidak PUAS berikan alasannya :
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RUANG KIA / KB/MTBS
a. PUAS b. Tidak PUAS
bila tidak PUAS berikan alasannya :
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RUANG GIGI
a. PUAS b. Tidak PUAS
bila tidak PUAS berikan alasannya :
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RUANG TINDAKAN
a. PUAS b. Tidak PUAS
bila tidak PUAS berikan alasannya :
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RUANG LABORATORIUM
a. PUAS b. Tidak PUAS
bila tidak PUAS berikan alasannya :
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RUANG APOTIK
a. PUAS b. Tidak PUAS
bila tidak PUAS berikan alasannya :
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Rejosari , .........................................

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