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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
Umur :
 
20 - 25
 
25 - 35
 
 
 
Pekerjaan :
 
Pelajar / Mahasiswa
 
Pekerja Kantoran
 
Buruh
 
Pengangguran
 
 
 
Daerah Tempat Tinggal :
 
Kotamadya Bandung
 
Kabupaten Bandung
 
 
 
1. Apakah anda mengetahui tentang Patahan ( Sesar ) Lembang ?
 
Yes
 
No
 
Maybe
 
 
 
2. Apakah menurut anda, keberadaan Patahan ( Sesar ) Lembang berbahaya ?
 
Yes
 
No
 
Maybe
 
 
 
3. Apakah anda sudah memiliki persiapan dalam menghadapi Bencana Alam ?
 
Yes
 
No
 
Maybe
 
 
 
4. Apakah didaerah tempat anda tinggal, sudah ada penyuluhan tentang Patahan
( Sesar ) Lembang ini ?
 
Sudah
 
Belum
 
 
 
5. Apa yang akan anda lakukan bila bencana alam terjadi ?
 
Lari ( Melarikan Diri )
 
Saling Melindungi antar Sesama
 
Tidak Tahu
 
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