Kuesioner Kepuasan Pelanggan

PEMERINTAH KABUPATEN CILACAP PEMERINTAH KABUPATEN CILACAP
DINAS KESEHATAN DINAS KESEHATAN

UPTD PUSKESMAS KEDUNGREJA UPTD PUSKESMAS KEDUNGREJA
SILAHKAN TULISKAN KRITIK DAN SARAN ANDA SILAHKAN TULISKAN KRITIK DAN SARAN ANDA
DEMI PENINGKATAN MUTU PELAYANAN DEMI PENINGKATAN MUTU PELAYANAN
PUSKESMAS PUSKESMAS
KRITIK:............................................................... KRITIK:...............................................................
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SARAN:............................................................... SARAN:...............................................................
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PUSKESMAS PUSKESMAS
KRITIK:............................................................... KRITIK:...............................................................
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... ...
SARAN:............................................................... SARAN:...............................................................
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PUSKESMAS PUSKESMAS
KRITIK:............................................................... KRITIK:...............................................................
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SARAN:............................................................... SARAN:...............................................................
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SURVEY KEPUASAN PELANGGAN SURVEY KEPUASAN PELANGGAN
Berilah tanda (X) pada jawaban yang anda rasa sesuai Berilah tanda (X) pada jawaban yang anda rasa sesuai
1. Puaskah anda dengan pelayanan di puskesmas? Puaskah anda dengan pelayanan di puskesmas?
a. Ya Ya
b. Tidak Tidak
Jika TIDAK silahkan tuliskan alasan anda Jika TIDAK silahkan tuliskan alasan anda
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Puaskah anda dengan pelayanan di puskesmas? Puaskah anda dengan pelayanan di puskesmas?
Ya Ya
Tidak Tidak
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2. Puaskah anda dengan pelayanan di puskesmas? 1. Puaskah anda dengan pelayanan di puskesmas?
a. Ya a. Ya
b. Tidak b. Tidak
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PEMERINTAH KABUPATEN CILACAP PEMERINTAH KABUPATEN CILACAP

DINAS KESEHATAN DINAS KESEHATAN

PEMERINTAH KABUPATEN CILACAP PEMERINTAH KABUPATEN CILACAP

PEMERINTAH KABUPATEN CILACAP PEMERINTAH KABUPATEN CILACAP

SURVEY KEPUASAN PELANGGAN SURVEY KEPUASAN PELANGGAN

PEMERINTAH KABUPATEN CILACAP PEMERINTAH KABUPATEN CILACAP

SURVEY KEPUASAN PELANGGAN SURVEY KEPUASAN PELANGGAN

SURVEY KEPUASAN PELANGGAN SURVEY KEPUASAN PELANGGAN

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