A. BIODATA KORESPONDEN
1. Nama :....................................................................................
2. Umur :....................................................................................
3. Pekerjaan :....................................................................................
B. PETUNJUK PENGISIAN
C. PERTANYAAN PILIHAN
2. Apakah anda mengisi blanko operasi dan pemeliharaan dalam pekerjaan anda di
lapangan?
Jawab: a. Ya b. Tidak
Jika tidak, jelaskan mengapa:
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.......................................................................................................................................
3. Apakah materi yang telah diberikan pada saat pelatihan dapat diaplikasikan di
lapangan tempat anda bekerja?
Jawab: a. Ya b. Tidak
Jika tidak, jelaskan mengapa:
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.......................................................................................................................................
4. Menurut pendapat anda, apakah pelatihan OP yang telah kami laksanakan berguna
bagi pekerjaan anda sehari-hari di lapangan?
Jawab: a. Ya b. Tidak
Jika tidak, jelaskan mengapa:
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.......................................................................................................................................
5. Apakah terdapat kendala yang anda rasakan dalam pekerjaan di lapangan setelah
mengikuti pelatihan?
Jawab: a. Ya b. Tidak
Jika ya, jelaskan mengapa:
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.......................................................................................................................................
8. Apakah masyarakat/P3A di daerah anda bekerja ikut berperan aktif dalam kegiatan
OP di lapangan?
Jawab: a. Ya b. Tidak
9. Apakah materi yang diberikan pada saat pelatihan telah anda lakukan/praktekkan
pada pekerjaan anda di lapangan?
Jawab: a. Ya b. Tidak
10. Apakah anda membaca ulang materi yang telah diberikan pada saat pelatihan
ketika anda melakukan pekerjaan anda?
Jawab: a. Ya b. Tidak
D. PERTANYAAN ESSAY
1. Apakah anda memliki saran atau kritik mengenai pelatihan OP untuk evaluasi
kegiatan pelatihan di tahun depan?
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.......................................................................................................................................
2. Apakah anda memiliki harapan untuk pekerjaan anda dalam bidang OP di masa
mendatang?
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.......................................................................................................................................