Contoh Kuisioner Dalam Menunjang Karya Tulis Ilmiah

KUISIONER

REALISASI PEMBERDAYAAN AIR SUNGAI DI DESA SUMAMPIR

Identitas Responden

Nama (Inisial) responden        :

Umur responden                     :

Pekerjaan responden               :

Jawablah pertanyaan-pertanyaan berikut ini!

1.      Bagaimanakah keadaan dan ketersediaan air di Desa Sumampir sebelum direalisasikan oleh pemerintah?

Jawab : ..............................................................................................................................................................................................................................................................................................................................................................................................................................

2.      Apa tanggapan Anda mengenai realisasi pemerintah dalam mengoptimalkan air sungai di Desa Sumampir?

Jawab : ..............................................................................................................................................................................................................................................................................................................................................................................................................................

3.      Bagaimanakah keadaan dan ketersediaan air di Desa Sumampir setelah direalisasikan oleh pemerintah?

Jawab : ..............................................................................................................................................................................................................................................................................................................................................................................................................................

4.      Menurut Anda, apa sajakah dampak positif dan negatif dari adanya realisasi pemerintah ini?

Jawab : ..............................................................................................................................................................................................................................................................................................................................................................................................................................

5.      Apa sajakah harapan-harapan Anda terhadap pemerintah selanjutnya?

Jawab : ..............................................................................................................................................................................................................................................................................................................................................................................................................................