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Kuisioner Kepuasan Masyarakat
Kuisioner kepuasan masyarakat terhadap pelayanan Pengadilan Agama Tutuyan Triwulan III Tahun 2021
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* Indicates required question
Nama Responden
*
Your answer
Jenis Pelayanan
*
Informasi
Pendaftaran
Akta Cerai
Salinan Penetapan/Putusan
Tanggal Survey
*
MM
/
DD
/
YYYY
Umur (Tahun)
*
Your answer
Jenis Kelamin
*
Laki-laki
Perempuan
Pendidikan Terakhir
*
SD ke bawah
SLTP
SLTA
D1-D2-D3
D4-S1
S2 ke atas
Pekerjaan Utama
*
PNS/TNI/POLRI/ASN
Pegawai Swasta
Wiraswasta
Pelajar/Mahasiswa
Petani/Pekebun
Penambang
Nelayan
Other:
Suku Bangsa
*
Jawa
Mongondow
Minahasa
Bugis
Gorontalo
Other:
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