PROGRAM STUDI TEKNIK Quality Form

INDUSTRI UMB JAKARTA NO : FT-UMB

FEEDBACK SURVEY OF
Page 1 of 1
PARTNERSHIP
.…/.…/2016 Rev. 00
Jl. Meruya Selatan No.1, Meruya Selatan, Kembangan, Jakarta Barat. 11650.

FEEDBACK SURVEY OF PARTNERSHIP UNIVERSITAS MERCU BUANA JAKARTA

This survey is used to monitor and evaluate all events as result of partnership between Program Studi Teknik
Industri Universitas Mercu Buana and third parties.

Personal Details
Name :
Institution :
E-mail :
Mobil Phone :
In which area/field do you involve in partnership with Program Studi Teknik Industri UMB Jakarta?
Education (workshop, training, internship, fieldtrip) Research
Service to Public/Society Asset Utilization
Others :………..
Filling Instructions

Please kindly give your response to each question by writing down the “X” sign on to each alternative number
in the left column respectively.

Number 1-5 in the answer colomn reflects level of each situation to your personal preference. The higher the number
you write down number 5 means the situation is near/fit to your preference. On the other hand, if you write down
number 1, means the situation is beyond/ away for your preference.

No Indicator Answer Alternative

1 Staff Program Studi Teknik Industri UMB Jakarta response to 1 2 3 4 5
our needs objectively and professionally
2 Process of making Memo of Agreement/understanding 1 2 3 4 5
(MOU/MOA) is quick
Away from Expectation

Meet Expectation
3 Program Studi Teknik Industri UMB Jakarta gives guidance
and assist to our institution everytime we need help 1 2 3 4 5
4 Partnership/ event is executed very well as meet to our 1 2 3 4 5
expectation
5 We benefited from partnership between our institution and 1 2 3 4 5
Program Studi Teknik Industri UMB Jakarta
6 Partnertship between Program Studi Teknik Industri UMB
Jakarta and our institution is executed by organizing events 1 2 3 4 5
according to our agreement
7 Final Report of each events/activities is made and 1 2 3 4 5
communicated
Jakarta, …./………/ 2016

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