KUESIONER EVALUASI PERTEMUAN LINTAS SEKTOR

PUSKESMAS KUSUMA BANGSA

Tanggal : ................................................................................
Nama : ................................................................................
Asal Instansi : ................................................................................

PENILAIAN
NO INDIKATOR
KURANG CUKUP BAIK
1. Proses dan Kejelasan Materi
a. Pelayanan registrasi
b. Kejelasan susunan acara Linsek
c. Kejelasan moderator dalam memandu acara
d. Kejelasan yang disampaikan narasumber
e. Kecukupan waktu sesi diskusi/ tanya jawab
f. Ketepatan waktu mulai dan waktu selesai acara linsek
2. Sarana dan Prasarana
a. Pemberian copy materi
b. Pengaturan sound system dengan LCD
c. Pelayanan konsumsi yang disajikan
d. Kenyamanan ruangan

Saran Perbaikan
1. Untuk pelaksanaan Lintas Sektor
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
................................................................................................................................................................
2. Untuk Puskesmas
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
................................................................................................................................................................