JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SURVEI KEPUASAN MASYARAKAT SATPOL PP & DAMKAR PROVINSI KALIMANTAN SELATAN
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Jenis Layanan (Trantibumlinmas)
*
Pengaduan / Penegakkan
Pelayanan Ketentraman / Ketertiban Umum
Layanan Damkar
Required
Nama
*
Your answer
Usia
*
Your answer
Jenis Kelamin
*
Laki - Laki
Perempuan
Pendidikan
*
SD
SMP
SMA
S1
S2
S3
Required
Pekerjaan
*
PNS
TNI
SWASTA
WIRAUSAHA
Other:
Required
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
