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Rumah No.

Resp D
Kabupaten/ Kota Provinsi Tipe RS
Sakit
1 2 3
R1 30 2
R2
R3
R4
R5
R6
R7
R8
R9
R10
R11
R12
R13
R14
R15
R16
R17
R18
R19
R20
R21
R22
R23
R24
R25
R26
R27
R28
R29
R30
R31
R32
R33
R34
R35
R36
R37
R38
R39
R40
R41
R42
R43
R44
R45
R46
R47
R48
R49
R50
R51
R52
R53
R54
R55
R56
R57
R58
R59
R60
R61
R62
R63
R64
R65
R66
R67
R68
R69
R70
R71
R72
R73
R74
R75
R76
R77
R78
R79
R80
R81
R82
R83
R84
R85
R86
R87
R88
R89
R90
R91
R92
R93
R94
R95
R96
R97
R98
R99
R100
R101
R102
R103
R104
R105
R106
R107
R108
R109
R110
R111
R112
R113
R114
R115
R116
R117
R118
R119
R120
R121
R122
R123
R124
R125
R126
R127
R128
R129
R130
R131
R132
R133
R134
R135
R136
R137
R138
R139
R140
R141
R142
R143
R144
R145
R146
R147
R148
R149
R150
R151
R152
R153
R154
R155
R156
R157
R158
R159
R160
R161
R162
R163
R164
R165
R166
R167
R168
R169
R170
R171
R172
R173
R174
R175
R176
R177
R178
R179
R180
R181
R182
R183
R184
R185
R186
R187
R188
R189
R190
R191
R192
R193
R194
R195
R196
R197
R198
R199
R200
R201
R202
R203
R204
R205
R206
R207
R208
R209
R210
R211
R212
R213
R214
R215
R216
R217
R218
R219
R220
R221
R222
R223
R224
R225
R226
R227
R228
R229
R230
R231
R232
R233
R234
R235
R236
R237
R238
R239
R240
R241
R242
R243
R244
R245
R246
R247
R248
R249
R250
R251
R252
R253
R254
R255
R256
R257
R258
R259
R260
R261
R262
R263
R264
R265
R266
R267
R268
R269
R270
R271
R272
R273
R274
R275
R276
R277
R278
R279
R280
R281
R282
R283
R284
R285
R286
R287
R288
R289
R290
R291
R292
R293
R294
R295
R296
R297
R298
R299
R300
R301
R302
R303
R304
R305
R306
R307
R308
R309
R310
R311
R312
R313
R314
R315
R316
R317
R318
R319
R320
R321
R322
R323
R324
R325
R326
R327
R328
R329
R330
R331
R332
R333
R334
R335
R336
R337
R338
R339
R340
R341
R342
R343
R344
R345
R346
R347
R348
R349
R350
R351
R352
R353
R354
R355
R356
R357
R358
R359
R360
R361
R362
R363
R364
R365
R366
R367
R368
R369
R370
R371
R372
R373
R374
R375
R376
R377
R378
R379
R380
R381
R382
R383
R384
R385
R386
R387
R388
R389
R390
R391
R392
R393
R394
R395
R396
R397
R398
R399
R400
1. PERSYARATAN
DATA RESPONDEN 2. SISTEM MEKANISM
PELAYANAN

4 5 6 7 8 9 1.1 1.2 2.1 2.2


1 5 7 2 1
2. SISTEM MEKANISME DAN PROSEDUR 3. WAKTU PELAYANAN

2.3 2.4 2.5 2.6 3.1 3.2 3.3 3.4 3.5 3.6
N 4. KOMPETENSI PELAKSANA 5. PERILAKU PELAKSANA

3.7 3.8 4.1 4.2 4.3 4.4 4.5 5.1 5.2 5.3
9. PENANGANAN
6. SARANA DAN
PELAKSANA 7. BIAYA/TARIF 8. PRODUK LAYANAN PENGADUAN, SARAN, 10. T
PRASARANA DAN MASUKAN

5.4 6.1 6.2 7.1 8.1 8.2 9.1 9.2 10.1


10. TAMBAHAN Pertanyaan Terbuka

10.2 10.3 10.4 10.5 1 2 3 4 5 6


pelyanannya bagus,
antrian
petugasnya
yang terlalu
ramahlama
Rumah No. Resp
Kabupaten/ Kota Provinsi Tipe RS
Sakit
1 2 3
R1
R2
R3
R4
R5
R6
R7
R8
R9
R10
R11
R12
R13
R14
R15
R16
R17
R18
R19
R20
R21
R22
R23
R24
R25
R26
R27
R28
R29
R30
R31
R32
R33
R34
R35
R36
R37
R38
R39
R40
R41
R42
R43
R44
R45
R46
R47
R48
R49
R50
R51
R52
R53
R54
R55
R56
R57
R58
R59
R60
R61
R62
R63
R64
R65
R66
R67
R68
R69
R70
R71
R72
R73
R74
R75
R76
R77
R78
R79
R80
R81
R82
R83
R84
R85
R86
R87
R88
R89
R90
R91
R92
R93
R94
R95
R96
R97
R98
R99
R100
R101
R102
R103
R104
R105
R106
R107
R108
R109
R110
R111
R112
R113
R114
R115
R116
R117
R118
R119
R120
R121
R122
R123
R124
R125
R126
R127
R128
R129
R130
R131
R132
R133
R134
R135
R136
R137
R138
R139
R140
R141
R142
R143
R144
R145
R146
R147
R148
R149
R150
R151
R152
R153
R154
R155
R156
R157
R158
R159
R160
R161
R162
R163
R164
R165
R166
R167
R168
R169
R170
R171
R172
R173
R174
R175
R176
R177
R178
R179
R180
R181
R182
R183
R184
R185
R186
R187
R188
R189
R190
R191
R192
R193
R194
R195
R196
R197
R198
R199
R200
R201
R202
R203
R204
R205
R206
R207
R208
R209
R210
R211
R212
R213
R214
R215
R216
R217
R218
R219
R220
R221
R222
R223
R224
R225
R226
R227
R228
R229
R230
R231
R232
R233
R234
R235
R236
R237
R238
R239
R240
R241
R242
R243
R244
R245
R246
R247
R248
R249
R250
R251
R252
R253
R254
R255
R256
R257
R258
R259
R260
R261
R262
R263
R264
R265
R266
R267
R268
R269
R270
R271
R272
R273
R274
R275
R276
R277
R278
R279
R280
R281
R282
R283
R284
R285
R286
R287
R288
R289
R290
R291
R292
R293
R294
R295
R296
R297
R298
R299
R300
R301
R302
R303
R304
R305
R306
R307
R308
R309
R310
R311
R312
R313
R314
R315
R316
R317
R318
R319
R320
R321
R322
R323
R324
R325
R326
R327
R328
R329
R330
R331
R332
R333
R334
R335
R336
R337
R338
R339
R340
R341
R342
R343
R344
R345
R346
R347
R348
R349
R350
R351
R352
R353
R354
R355
R356
R357
R358
R359
R360
R361
R362
R363
R364
R365
R366
R367
R368
R369
R370
R371
R372
R373
R374
R375
R376
R377
R378
R379
R380
R381
R382
R383
R384
R385
R386
R387
R388
R389
R390
R391
R392
R393
R394
R395
R396
R397
R398
R399
R400
1. PERSYARATAN
DATA RESPONDEN 2. SISTEM M
PELAYANAN

4 5 6 7 8 9 10 1.1 1.2 2.1


2. SISTEM MEKANISME DAN PROSEDUR 3. WAKTU PELAYANAN

2.2 2.3 2.4 2.5 2.6 3.1 3.2 3.3 3.4 3.5
ANAN 4. KOMPETENSI PELAKSANA 5. PERILAKU PELAKSANA

3.6 3.7 4.1 4.2 4.3 4.4 4.5 5.1 5.2 5.3
PELAKSANA 6. SARANA DAN PRASARANA 7. BIAYA/TARIF 8. PRODUK LAYANAN

5.4 6.1 6.2 6.3 6.4 6.5 6.6 7.1 8.1


9. PENANGANAN
8. PRODUK LAYANAN PENGADUAN, SARAN, 10. TAMBAHAN Pertany
DAN MASUKAN

8.2 9.1 9.2 10.1 10.2 10.3 10.4 10.5 1


Pertanyaan Terbuka

2 3 4 5 6
No. Resp
1 3.4
R1
R2
R3
R4
R5
R6
R7
R8
R9
R10
R11
R12
R13
R14
R15
R16
R17
R18
R19
R20
R21
R22
R23
R24
R25
R26
R27
R28
R29
R30
R31
R32
R33
R34
R35
R36
R37
R38
R39
R40
R41
R42
R43
R44
R45
R46
R47
R48
R49
R50
R51
R52
R53
R54
R55
R56
R57
R58
R59
R60
R61
R62
R63
R64
R65
R66
R67
R68
R69
R70
R71
R72
R73
R74
R75
R76
R77
R78
R79
R80
R81
R82
R83
R84
R85
R86
R87
R88
R89
R90
R91
R92
R93
R94
R95
R96
R97
R98
R99
R100
R101
R102
R103
R104
R105
R106
R107
R108
R109
R110
R111
R112
R113
R114
R115
R116
R117
R118
R119
R120
R121
R122
R123
R124
R125
R126
R127
R128
R129
R130
R131
R132
R133
R134
R135
R136
R137
R138
R139
R140
R141
R142
R143
R144
R145
R146
R147
R148
R149
R150
R151
R152
R153
R154
R155
R156
R157
R158
R159
R160
R161
R162
R163
R164
R165
R166
R167
R168
R169
R170
R171
R172
R173
R174
R175
R176
R177
R178
R179
R180
R181
R182
R183
R184
R185
R186
R187
R188
R189
R190
R191
R192
R193
R194
R195
R196
R197
R198
R199
R200
R201
R202
R203
R204
R205
R206
R207
R208
R209
R210
R211
R212
R213
R214
R215
R216
R217
R218
R219
R220
R221
R222
R223
R224
R225
R226
R227
R228
R229
R230
R231
R232
R233
R234
R235
R236
R237
R238
R239
R240
R241
R242
R243
R244
R245
R246
R247
R248
R249
R250
R251
R252
R253
R254
R255
R256
R257
R258
R259
R260
R261
R262
R263
R264
R265
R266
R267
R268
R269
R270
R271
R272
R273
R274
R275
R276
R277
R278
R279
R280
R281
R282
R283
R284
R285
R286
R287
R288
R289
R290
R291
R292
R293
R294
R295
R296
R297
R298
R299
R300
R301
R302
R303
R304
R305
R306
R307
R308
R309
R310
R311
R312
R313
R314
R315
R316
R317
R318
R319
R320
R321
R322
R323
R324
R325
R326
R327
R328
R329
R330
R331
R332
R333
R334
R335
R336
R337
R338
R339
R340
R341
R342
R343
R344
R345
R346
R347
R348
R349
R350
R351
R352
R353
R354
R355
R356
R357
R358
R359
R360
R361
R362
R363
R364
R365
R366
R367
R368
R369
R370
R371
R372
R373
R374
R375
R376
R377
R378
R379
R380
R381
R382
R383
R384
R385
R386
R387
R388
R389
R390
R391
R392
R393
R394
R395
R396
R397
R398
R399
R400

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