IKATAN

APOTEK
ER
INDONE
SIA
(
Indonesian
Pharmacists
Association
)PENGURUS
CABANG KOTA
TANGERANG
SELATAN
EVALUASI
PELAKSANAA
N SEMINAR
& WORKSHOP
APOTEKER:
“

Pengembangan
Kompetensi
Apoteker &
Sosialisasi Aspek
Hukum, Etikolegal
di SaranaPraktik
Kefarmasian
”

Sabtu, 13 Juni
2015 |
Auditorium
RS Sari Asih
Ciputat
Nama :
…………………
…………………
Institusi : PBF / A
potek / RS /Industri
(Pilih yang sesuai)
Untuk memberikan
masukan dalam
rangka
penyempurnaan
programSeminar/
Workshop/Pelatiha
n dimasa-masa
yang akan datang
sehingga
semakinmempunya
i manfaat dan
makna, mohon
kiranya dapat
memberikan
masukan/evaluasi,c
aranya adalah
berilah tanda (
√
 ) pada kolom
pertanyaan yang
telah disediakan
dengankategori
penilaian evaluasi
kegiatan dinilai
dengan huruf yang
terdiri dari:A :
Sangat
Baik/MenarikB :
Baik/MenarikC :
Cukup/MenarikD :
Tidak
Baik/MenarikE :
Sangat Tidak
Baik/Menarik
No
EvaluasiPenilaian
ABCDE
1.Bagaimana
tanggapan anda
tentang materi
Seminar&
Workshop
Apoteker ini secara
keseluruhan?

2.Apakah materi
yang diberikan
secara
keseluruhantelah
sesuai dengan tema
Seminar &
WorkshopApotek
er
, yaitu
“

Pengembangan
KompetensiApotek
er & Sosialisasi
Aspek Hukum,
Etikolegal
diSarana Praktik
Kefarmasian
”

?3.Bagaimana
tanggapan anda
tentang penjelasan
paraNara Sumber
dalam
menyampaikan
materinya,
&interaksi dalam
menjawab
pertanyaan?a.

Muhamad
Kashuri, S.Si.,
Apt., M.Pharm
(Kepala Balai
POM Serang)b.

Drs. Endang
Hendarto,
M.Kes.,Apt
(Ketua MEDAI
PD IAI Banten)c.
Dra. Lusy
Sumarwatih,
MARS., Apt(Ketua
PD IAI Banten)d.

Drs. Totok
Sudjianto,
M.Kes., Apt
 (Ketua Badan
Sertifikasi PP
IAI)4.Bagaimana
tanggapan anda
tentang
penjelasanmoderat
or/fasilitator dalam
membawakan
acara?Menurut
anda, topik/materi
apa yang relevan
untuk
penyelenggaraan
kegiatanseminar/w
orkshop/pelatihan
berikutnya,
sebutkan :
…………………
…………………
………
.
…………………
…………………
…………………
…………………
…………………
………

Terima kasih
atas partisipasi
Teman Sejawat
sekalian
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