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KUISIONER SURVEY KEPUASAN MASYARAKAT
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* Indicates required question
Tanggal Survey
*
MM
/
DD
/
YYYY
Nama Responden
*
Your answer
Jenis Pelayanan
*
Choose
Akta Cerai
Salinan Putusan
Salinan Penetapan
Pendaftaran Cerai Talak
Pendaftaran Cerai Gugat
Permohonan Itsbat Nikah
Permohonan Dispensasi
Lain-Lain
Umur
*
Your answer
Jenis Kelamin
*
Pria
Wanita
Pendidikan Terakhir
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Choose
SD ke bawah
SLTP
SLTA
D1, D2, D3
S1, D4
S2 keatas
Pekerjaan Umum
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Choose
PNS/ TNI/ POLRI
Pegawai Swasta
Wiraswasta/ Usahawan
Pelajar/ Mahasiswa
Lainnya
Suku
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Your answer
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