JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Kuesioner Survei Kepuasan Masyarakat (SKM) pada Unit Layanan Dinas Penanaman Modal dan Pelayanan Terpadu Satu Pintu Kota Tarakan
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Tanggal Survei
*
MM
/
DD
/
YYYY
Jam Survei
*
08.00 - 12.00
13.00 - 17.00
Nama Responden
*
Your answer
NIP/Data Lain
Your answer
Usia
*
Your answer
Alamat
Your answer
No Handphone
Your answer
Jenis Kelamin
*
Choose
Laki-laki
Perempuan
Pendidikan Terakhir
*
Choose
Tidak Tamat SD
SD/sederajat
SMP/sederajat
SMA/sederajat
D1, D2, D3
D4, S1
S2, S3
Pekerjaan Utama
*
PNS/TNI/POLRI
Pegawai Swasta
Wiraswasta
Pegawai BUMN
Pegawai BUMD
Ketua RT
Pelajar/Mahasiswa
Buruh Tani
Nelayan
Other:
Jenis Izin
*
Your answer
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
