Kuesioner.docx

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  • October 2019
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Kuesioner (judul)

I.

Identitas responden a. Kode responden b. Nama responden c. Alamat responden d. Umur e. Pendidikan terakhir

f. II.

Tanggal

Identitas balita a. Nama balita b. Jenis kelamin c. Tempat, tanggal lahir d. Umur e. Berat badan f. Tinggi badan g. Status gizi

: : : : : (1)SD (2)SMP (3)SMA (4)perguruan tinggi (5)tidak sekolah : : : : : : kg : cm : (1) lebih (2) baik (3) kurang (4) buruk

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