{"id":1059,"date":"2014-12-02T09:54:14","date_gmt":"2014-12-02T09:54:14","guid":{"rendered":"http:\/\/registrar.utm.my\/kualalumpur\/?page_id=1059"},"modified":"2020-10-05T06:20:43","modified_gmt":"2020-10-05T06:20:43","slug":"csi-panel-clinic-for-utm-kl","status":"publish","type":"page","link":"https:\/\/registrar.utm.my\/kl\/csi-panel-clinic-for-utm-kl\/","title":{"rendered":"Soal Selidik Kepuasan Pelanggan Klinik Panel UTMKL"},"content":{"rendered":"<div id=\"vfb-form-15\" class=\"visual-form-builder-container\"><form id=\"indeks-kepuasan-pelanggan-klinik-panel-utmkl-15\" class=\"visual-form-builder vfb-form-15 \" method=\"post\" enctype=\"multipart\/form-data\">\n\t  \t<input type=\"hidden\" name=\"form_id\" value=\"15\" \/><fieldset class=\"vfb-fieldset vfb-fieldset-1 sila-tandakan-dengan-e2889a-bagi-jawapan-yang-dipilih \" id=\"item-vfb-574\"><div class=\"vfb-legend\"><h3>Sila tandakan dengan \u221a  bagi jawapan yang dipilih.<\/h3><\/div><ul class=\"vfb-section vfb-section-1\"><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-2 e2889a-1-sangat-tidak-setuju-e2889a-2-tidak-setuju-e2889a-3-tidak-pasti-e2889a-4-setuju-e2889a-5-sangat-setuju \" id=\"item-vfb-622\"><div class=\"vfb-legend\"><h3>\u221a 1. Sangat Tidak Setuju  \u221a 2. Tidak Setuju \u221a 3. Tidak Pasti  \u221a 4. Setuju \u221a 5. Sangat Setuju<\/h3><\/div><ul class=\"vfb-section vfb-section-2\"><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-623\"><label class=\"vfb-desc\">Tuan \/ Puan yang dihormati, <\/label>Soal selidik ini bertujuan untuk mendapatkan maklumbalas dan cadangan staf UTM KL berkenaan perkhidmatan yang diberikan oleh klinik panel.\r\nKerjasama tuan\/puan amatlah dihargai dan didahului dengan ribuan terima kasih.<\/li><div id=\"item-vfb-584\" class=\"vfb-section-div \"><h4>Bahagian A : Profil Responden<\/h4><li class=\"vfb-item vfb-item-checkbox  vfb-two-column \" id=\"item-vfb-579\"><label class=\"vfb-desc\">Jantina <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-579[]\" id=\"vfb-579-0\" value=\"Lelaki\" class=\"vfb-checkbox  \" \/><label for=\"vfb-579-0\" class=\"vfb-choice\">Lelaki<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-579[]\" id=\"vfb-579-1\" value=\"Perempuan\" class=\"vfb-checkbox  \" \/><label for=\"vfb-579-1\" class=\"vfb-choice\">Perempuan<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-two-column \" id=\"item-vfb-578\"><label class=\"vfb-desc\">Umur <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-578[]\" id=\"vfb-578-0\" value=\"Bawah 30 tahun\" class=\"vfb-checkbox  \" \/><label for=\"vfb-578-0\" class=\"vfb-choice\">Bawah 30 tahun<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-578[]\" id=\"vfb-578-1\" value=\"31 - 40 tahun\" class=\"vfb-checkbox  \" \/><label for=\"vfb-578-1\" class=\"vfb-choice\">31 - 40 tahun<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-578[]\" id=\"vfb-578-2\" value=\"41 - 50 tahun\" class=\"vfb-checkbox  \" \/><label for=\"vfb-578-2\" class=\"vfb-choice\">41 - 50 tahun<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-578[]\" id=\"vfb-578-3\" value=\"51 tahun ke atas\" class=\"vfb-checkbox  \" \/><label for=\"vfb-578-3\" class=\"vfb-choice\">51 tahun ke atas<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-two-column \" id=\"item-vfb-620\"><label class=\"vfb-desc\">Kumpulan Perkhidmatan <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-620[]\" id=\"vfb-620-0\" value=\"Pengurusan &amp; Profesional (A) - Staf Akademik\" class=\"vfb-checkbox  \" \/><label for=\"vfb-620-0\" class=\"vfb-choice\">Pengurusan & Profesional (A) - Staf Akademik<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-620[]\" id=\"vfb-620-1\" value=\"Pengurusan &amp; Profesional (A) - Staf Bukan Akademik\" class=\"vfb-checkbox  \" \/><label for=\"vfb-620-1\" class=\"vfb-choice\">Pengurusan & Profesional (A) - Staf Bukan Akademik<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-620[]\" id=\"vfb-620-2\" value=\"Kumpulan Pelaksana (B)\" class=\"vfb-checkbox  \" \/><label for=\"vfb-620-2\" class=\"vfb-choice\">Kumpulan Pelaksana (B)<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-620[]\" id=\"vfb-620-3\" value=\"Kumpulan Pelaksana (C)\" class=\"vfb-checkbox  \" \/><label for=\"vfb-620-3\" class=\"vfb-choice\">Kumpulan Pelaksana (C)<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-620[]\" id=\"vfb-620-4\" value=\"Kumpulan Pelaksana (D)\" class=\"vfb-checkbox  \" \/><label for=\"vfb-620-4\" class=\"vfb-choice\">Kumpulan Pelaksana (D)<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-two-column \" id=\"item-vfb-581\"><label class=\"vfb-desc\">Status Perkahwinan <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-581[]\" id=\"vfb-581-0\" value=\"Bujang\" class=\"vfb-checkbox  \" \/><label for=\"vfb-581-0\" class=\"vfb-choice\">Bujang<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-581[]\" id=\"vfb-581-1\" value=\"Berkahwin\" class=\"vfb-checkbox  \" \/><label for=\"vfb-581-1\" class=\"vfb-choice\">Berkahwin<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-581[]\" id=\"vfb-581-2\" value=\"Duda \/ Janda\" class=\"vfb-checkbox  \" \/><label for=\"vfb-581-2\" class=\"vfb-choice\">Duda \/ Janda<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-two-column \" id=\"item-vfb-624\"><label class=\"vfb-desc\">Tempoh Perkhidmatan <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-624[]\" id=\"vfb-624-0\" value=\"Kurang 2 tahun\" class=\"vfb-checkbox  \" \/><label for=\"vfb-624-0\" class=\"vfb-choice\">Kurang 2 tahun<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-624[]\" id=\"vfb-624-1\" value=\"2 - 5 tahun\" class=\"vfb-checkbox  \" \/><label for=\"vfb-624-1\" class=\"vfb-choice\">2 - 5 tahun<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-624[]\" id=\"vfb-624-2\" value=\"5 - 10 tahun\" class=\"vfb-checkbox  \" \/><label for=\"vfb-624-2\" class=\"vfb-choice\">5 - 10 tahun<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-624[]\" id=\"vfb-624-3\" value=\"10 - 15 tahun\" class=\"vfb-checkbox  \" \/><label for=\"vfb-624-3\" class=\"vfb-choice\">10 - 15 tahun<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-624[]\" id=\"vfb-624-4\" value=\"15 tahun dan ke atas\" class=\"vfb-checkbox  \" \/><label for=\"vfb-624-4\" class=\"vfb-choice\">15 tahun dan ke atas<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-checkbox  vfb-two-column \" id=\"item-vfb-582\"><label class=\"vfb-desc\">Taraf Jawatan <\/label><div><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-582[]\" id=\"vfb-582-0\" value=\"Tetap\" class=\"vfb-checkbox  \" \/><label for=\"vfb-582-0\" class=\"vfb-choice\">Tetap<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-582[]\" id=\"vfb-582-1\" value=\"Kontrak\" class=\"vfb-checkbox  \" \/><label for=\"vfb-582-1\" class=\"vfb-choice\">Kontrak<\/label><\/span><span class=\"vfb-span\"><input type=\"checkbox\" name=\"vfb-582[]\" id=\"vfb-582-2\" value=\"Sementara\" class=\"vfb-checkbox  \" \/><label for=\"vfb-582-2\" class=\"vfb-choice\">Sementara<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><div id=\"item-vfb-692\" class=\"vfb-section-div \"><h4>Klinik 1<\/h4><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-686\"><label for=\"vfb-686\" class=\"vfb-desc\">Nama Klinik 1 <\/label><select name=\"vfb-686\" id=\"vfb-686\" class=\"vfb-select  vfb-large  \"><option value=\"Sila Pilih\">Sila Pilih<\/option><option value=\"Poliklinik Penawar (Bdr. Baru Bangi)\">Poliklinik Penawar (Bdr. Baru Bangi)<\/option><option value=\"Kumpulan Medic (Jln. Ampang)\">Kumpulan Medic (Jln. Ampang)<\/option><option value=\"Kumpulan Medic (Petaling Jaya)\">Kumpulan Medic (Petaling Jaya)<\/option><option value=\"Kumpulan Medic (Damansara Utama)\">Kumpulan Medic (Damansara Utama)<\/option><option value=\"Kumpulan Medic (Subang Jaya)\">Kumpulan Medic (Subang Jaya)<\/option><option value=\"Kumpulan Medic (Shah Alam)\">Kumpulan Medic (Shah Alam)<\/option><option value=\"Klinik Khairat (Keramat Jaya 2)\">Klinik Khairat (Keramat Jaya 2)<\/option><option value=\"Klinik Dr. Khalid dan Dr. Wan Julia (Taman Kosas)\">Klinik Dr. Khalid dan Dr. Wan Julia (Taman Kosas)<\/option><option value=\"Klinik Dr. Khalid dan Dr. Wan Julia (Taman Putra)\">Klinik Dr. Khalid dan Dr. Wan Julia (Taman Putra)<\/option><option value=\"Klinik Rosman (Kg. Baru)\">Klinik Rosman (Kg. Baru)<\/option><option value=\"Klinik Idzham Sdn. Bhd (Taman Melawati)\">Klinik Idzham Sdn. Bhd (Taman Melawati)<\/option><option value=\"Klinik Idzham Sdn. Bhd (Pandan Jaya)\">Klinik Idzham Sdn. Bhd (Pandan Jaya)<\/option><option value=\"Klinik Idzham Sdn. Bhd (Taman Setiawangsa)\">Klinik Idzham Sdn. Bhd (Taman Setiawangsa)<\/option><option value=\"Klinik Rawatan Idzham (Bukit Antarabangsa)\">Klinik Rawatan Idzham (Bukit Antarabangsa)<\/option><option value=\"Klinik  Noridah (Shah Alam)\">Klinik  Noridah (Shah Alam)<\/option><option value=\"Klinik Zain (Selayang Baru)\">Klinik Zain (Selayang Baru)<\/option><option value=\"Klinik Famili Kelana Jaya (Kelana Jaya)\">Klinik Famili Kelana Jaya (Kelana Jaya)<\/option><option value=\"Klinik Wong Singh (Rawang)\">Klinik Wong Singh (Rawang)<\/option><option value=\"Klinik Wong Singh (Bukit Sentosa)\">Klinik Wong Singh (Bukit Sentosa)<\/option><option value=\"Klinik Wong Singh (Bdr. Country Homes)\">Klinik Wong Singh (Bdr. Country Homes)<\/option><option value=\"Klinik Keluarga Taman Kota Cheras (Taman Kota Cheras)\">Klinik Keluarga Taman Kota Cheras (Taman Kota Cheras)<\/option><option value=\"Klinik Halim &amp; Surgeri (Kg. Baru)\">Klinik Halim &amp; Surgeri (Kg. Baru)<\/option><option value=\"Klinik Dr. Shamsuddin (Bdr. Baru Sg. Buluh)\">Klinik Dr. Shamsuddin (Bdr. Baru Sg. Buluh)<\/option><option value=\"Klinik Famili BTS Sdn. Bhd (Bdr. Tasik Selatan)\">Klinik Famili BTS Sdn. Bhd (Bdr. Tasik Selatan)<\/option><option value=\"Klinik Keluarga (Wangsa Maju)\">Klinik Keluarga (Wangsa Maju)<\/option><option value=\"Klinik Dr. Mohamed Mydin &amp; Rakan-Rakan Sdn . Bhd (Jln. Ampang)\">Klinik Dr. Mohamed Mydin &amp; Rakan-Rakan Sdn . Bhd (Jln. Ampang)<\/option><option value=\"Klinik Abdullah (Seremban)\">Klinik Abdullah (Seremban)<\/option><option value=\"Poliklinik Kotaraya &amp; Klinik Pakar Wanita (Taman Melawati)\">Poliklinik Kotaraya &amp; Klinik Pakar Wanita (Taman Melawati)<\/option><option value=\"Klinik Dr. Karim (Jln. Semenyih)\">Klinik Dr. Karim (Jln. Semenyih)<\/option><option value=\"Klinik Sulaiman Talib Sdn. Bhd (Greenwood Park)\">Klinik Sulaiman Talib Sdn. Bhd (Greenwood Park)<\/option><option value=\"Klinik Zalfah (Bdr. Baru Bangi)\">Klinik Zalfah (Bdr. Baru Bangi)<\/option><option value=\"Klinik Ummu &#039;Ammar (Bdr. Seri Putra)\">Klinik Ummu &#039;Ammar (Bdr. Seri Putra)<\/option><option value=\"Poliklinik Sri Permai (Putrajaya)\">Poliklinik Sri Permai (Putrajaya)<\/option><option value=\"Klinik Mediviron (Bangsar Baru)\">Klinik Mediviron (Bangsar Baru)<\/option><option value=\"Poliklinik Dinar (Taman Subang Perdana)\">Poliklinik Dinar (Taman Subang Perdana)<\/option><option value=\"Klinik Warisan (Hulu Langat)\">Klinik Warisan (Hulu Langat)<\/option><option value=\"Poliklinik Dr. Azhar &amp; Rakan-Rakan (Setapak)\">Poliklinik Dr. Azhar &amp; Rakan-Rakan (Setapak)<\/option><option value=\"Poliklinik An-Nur (Bdr. Tun Hussein Onn)\">Poliklinik An-Nur (Bdr. Tun Hussein Onn)<\/option><option value=\"Klinik Dr. Fauziah (Bdr. Baru Selayang)\">Klinik Dr. Fauziah (Bdr. Baru Selayang)<\/option><option value=\"Poliklinik Dinamik (Beranang)\">Poliklinik Dinamik (Beranang)<\/option><option value=\"Klinik Wangsa Sdn. Bhd (Bandar Baru Wangsa Maju)\">Klinik Wangsa Sdn. Bhd (Bandar Baru Wangsa Maju)<\/option><option value=\"Klinik Baharom (Jln. Sentul)\">Klinik Baharom (Jln. Sentul)<\/option><option value=\"Klinik Mediviron Kinrara (Bdr. Kinrara)\">Klinik Mediviron Kinrara (Bdr. Kinrara)<\/option><option value=\"Klinik Perdana (Taman Puncak Jalil)\">Klinik Perdana (Taman Puncak Jalil)<\/option><option value=\"Klinik As_Salam (Bandar Baru Bangi)\">Klinik As_Salam (Bandar Baru Bangi)<\/option><option value=\"Poliklinik Dr. Azhar Dan Rakan-Rakan (Puncak Alam)\">Poliklinik Dr. Azhar Dan Rakan-Rakan (Puncak Alam)<\/option><option value=\"Klinik Siti Banting (Banting)\">Klinik Siti Banting (Banting)<\/option><option value=\"Poliklinik Dan Surgeri Al-Haramain (Jenjarom)\">Poliklinik Dan Surgeri Al-Haramain (Jenjarom)<\/option><\/select><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-691\"><label for=\"vfb-691\" class=\"vfb-desc\">* Masukkan nama klinik jika klinik panel anda tiada dalam senarai <\/label><input type=\"text\" name=\"vfb-691\" id=\"vfb-691\" value=\"\" class=\"vfb-text  vfb-large   \" \/><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-580\"><label class=\"vfb-desc\">1. Layanan staf di kaunter klinik adalah memuaskan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-580\" id=\"vfb-580-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-580-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-580\" id=\"vfb-580-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-580-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-580\" id=\"vfb-580-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-580-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-580\" id=\"vfb-580-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-580-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-580\" id=\"vfb-580-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-580-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-585\"><label class=\"vfb-desc\">2. Klinik beroperasi menepati waktu perkhidmatan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-585\" id=\"vfb-585-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-585-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-585\" id=\"vfb-585-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-585-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-585\" id=\"vfb-585-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-585-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-585\" id=\"vfb-585-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-585-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-585\" id=\"vfb-585-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-585-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-587\"><label class=\"vfb-desc\">3. Layanan yang diberikan oleh doktor klinik ini adalah memuaskan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-587\" id=\"vfb-587-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-587-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-587\" id=\"vfb-587-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-587-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-587\" id=\"vfb-587-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-587-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-587\" id=\"vfb-587-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-587-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-587\" id=\"vfb-587-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-587-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-588\"><label class=\"vfb-desc\">4. Kos rawatan di klinik ini adalah berpatutan dengan ubat-ubatan yang disediakan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-588\" id=\"vfb-588-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-588-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-588\" id=\"vfb-588-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-588-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-588\" id=\"vfb-588-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-588-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-588\" id=\"vfb-588-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-588-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-588\" id=\"vfb-588-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-588-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-589\"><label class=\"vfb-desc\">5. Tempoh menunggu untuk mendapatkan rawatan adalah kurang dari satu jam <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-589\" id=\"vfb-589-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-589-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-589\" id=\"vfb-589-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-589-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-589\" id=\"vfb-589-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-589-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-589\" id=\"vfb-589-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-589-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-589\" id=\"vfb-589-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-589-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-590\"><label class=\"vfb-desc\">6. Klinik ini wajar disambung perkhidmatan sebagai klinik panel UTM <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-590\" id=\"vfb-590-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-590-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-590\" id=\"vfb-590-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-590-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-590\" id=\"vfb-590-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-590-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-590\" id=\"vfb-590-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-590-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-590\" id=\"vfb-590-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-590-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><div id=\"item-vfb-693\" class=\"vfb-section-div \"><h4>Klinik 2<\/h4><li class=\"vfb-item vfb-item-select  \" id=\"item-vfb-687\"><label for=\"vfb-687\" class=\"vfb-desc\">Nama Klinik 2 <\/label><select name=\"vfb-687\" id=\"vfb-687\" class=\"vfb-select  vfb-large  \"><option value=\"Sila Pilih\">Sila Pilih<\/option><option value=\"Poliklinik Penawar (Bdr. Baru Bangi)\">Poliklinik Penawar (Bdr. Baru Bangi)<\/option><option value=\"Kumpulan Medic (Jln. Ampang)\">Kumpulan Medic (Jln. Ampang)<\/option><option value=\"Kumpulan Medic (Petaling Jaya)\">Kumpulan Medic (Petaling Jaya)<\/option><option value=\"Kumpulan Medic (Damansara Utama)\">Kumpulan Medic (Damansara Utama)<\/option><option value=\"Kumpulan Medic (Subang Jaya)\">Kumpulan Medic (Subang Jaya)<\/option><option value=\"Kumpulan Medic (Shah Alam)\">Kumpulan Medic (Shah Alam)<\/option><option value=\"Klinik Khairat (Keramat Jaya 2)\">Klinik Khairat (Keramat Jaya 2)<\/option><option value=\"Klinik Dr. Khalid dan Dr. Wan Julia (Taman Kosas)\">Klinik Dr. Khalid dan Dr. Wan Julia (Taman Kosas)<\/option><option value=\"Klinik Dr. Khalid dan Dr. Wan Julia (Taman Putra)\">Klinik Dr. Khalid dan Dr. Wan Julia (Taman Putra)<\/option><option value=\"Klinik Rosman (Kg. Baru)\">Klinik Rosman (Kg. Baru)<\/option><option value=\"Klinik Idzham Sdn. Bhd (Taman Melawati)\">Klinik Idzham Sdn. Bhd (Taman Melawati)<\/option><option value=\"Klinik Idzham Sdn. Bhd (Pandan Jaya)\">Klinik Idzham Sdn. Bhd (Pandan Jaya)<\/option><option value=\"Klinik Idzham Sdn. Bhd (Taman Setiawangsa)\">Klinik Idzham Sdn. Bhd (Taman Setiawangsa)<\/option><option value=\"Klinik Rawatan Idzham (Bukit Antarabangsa)\">Klinik Rawatan Idzham (Bukit Antarabangsa)<\/option><option value=\"Klinik  Noridah (Shah Alam)\">Klinik  Noridah (Shah Alam)<\/option><option value=\"Klinik Zain (Selayang Baru)\">Klinik Zain (Selayang Baru)<\/option><option value=\"Klinik Famili Kelana Jaya (Kelana Jaya)\">Klinik Famili Kelana Jaya (Kelana Jaya)<\/option><option value=\"Klinik Wong Singh (Rawang)\">Klinik Wong Singh (Rawang)<\/option><option value=\"Klinik Wong Singh (Bukit Sentosa)\">Klinik Wong Singh (Bukit Sentosa)<\/option><option value=\"Klinik Wong Singh (Bdr. Country Homes)\">Klinik Wong Singh (Bdr. Country Homes)<\/option><option value=\"Klinik Keluarga Taman Kota Cheras (Taman Kota Cheras)\">Klinik Keluarga Taman Kota Cheras (Taman Kota Cheras)<\/option><option value=\"Klinik Halim &amp; Surgeri (Kg. Baru)\">Klinik Halim &amp; Surgeri (Kg. Baru)<\/option><option value=\"Klinik Dr. Shamsuddin (Bdr. Baru Sg. Buluh)\">Klinik Dr. Shamsuddin (Bdr. Baru Sg. Buluh)<\/option><option value=\"Klinik Famili BTS Sdn. Bhd (Bdr. Tasik Selatan)\">Klinik Famili BTS Sdn. Bhd (Bdr. Tasik Selatan)<\/option><option value=\"Klinik Keluarga (Wangsa Maju)\">Klinik Keluarga (Wangsa Maju)<\/option><option value=\"Klinik Dr. Mohamed Mydin &amp; Rakan-Rakan Sdn . Bhd (Jln. Ampang)\">Klinik Dr. Mohamed Mydin &amp; Rakan-Rakan Sdn . Bhd (Jln. Ampang)<\/option><option value=\"Klinik Abdullah (Seremban)\">Klinik Abdullah (Seremban)<\/option><option value=\"Poliklinik Kotaraya &amp; Klinik Pakar Wanita (Taman Melawati)\">Poliklinik Kotaraya &amp; Klinik Pakar Wanita (Taman Melawati)<\/option><option value=\"Klinik Dr. Karim (Jln. Semenyih)\">Klinik Dr. Karim (Jln. Semenyih)<\/option><option value=\"Klinik Sulaiman Talib Sdn. Bhd (Greenwood Park)\">Klinik Sulaiman Talib Sdn. Bhd (Greenwood Park)<\/option><option value=\"Klinik Zalfah (Bdr. Baru Bangi)\">Klinik Zalfah (Bdr. Baru Bangi)<\/option><option value=\"Klinik Ummu &#039;Ammar (Bdr. Seri Putra)\">Klinik Ummu &#039;Ammar (Bdr. Seri Putra)<\/option><option value=\"Poliklinik Sri Permai (Putrajaya)\">Poliklinik Sri Permai (Putrajaya)<\/option><option value=\"Klinik Mediviron (Bangsar Baru)\">Klinik Mediviron (Bangsar Baru)<\/option><option value=\"Poliklinik Dinar (Taman Subang Perdana)\">Poliklinik Dinar (Taman Subang Perdana)<\/option><option value=\"Klinik Warisan (Hulu Langat)\">Klinik Warisan (Hulu Langat)<\/option><option value=\"Poliklinik Dr. Azhar &amp; Rakan-Rakan (Setapak)\">Poliklinik Dr. Azhar &amp; Rakan-Rakan (Setapak)<\/option><option value=\"Poliklinik An-Nur (Bdr. Tun Hussein Onn)\">Poliklinik An-Nur (Bdr. Tun Hussein Onn)<\/option><option value=\"Klinik Dr. Fauziah (Bdr. Baru Selayang)\">Klinik Dr. Fauziah (Bdr. Baru Selayang)<\/option><option value=\"Poliklinik Dinamik (Beranang)\">Poliklinik Dinamik (Beranang)<\/option><option value=\"Klinik Wangsa Sdn. Bhd (Wangsa Maju)\">Klinik Wangsa Sdn. Bhd (Wangsa Maju)<\/option><option value=\"Klinik Baharom (Jln. Sentul)\">Klinik Baharom (Jln. Sentul)<\/option><option value=\"Klinik Mediviron Kinrara (Bdr. Kinrara)\">Klinik Mediviron Kinrara (Bdr. Kinrara)<\/option><option value=\"Klinik Perdana  (Taman Puncak Jalil)\">Klinik Perdana  (Taman Puncak Jalil)<\/option><option value=\"Klinik As_Salam (Bandar Baru Bangi)\">Klinik As_Salam (Bandar Baru Bangi)<\/option><option value=\"Poliklinik Dr. Azhar Dan Rakan-Rakan (Puncak Alam)\">Poliklinik Dr. Azhar Dan Rakan-Rakan (Puncak Alam)<\/option><option value=\"Klinik Siti Banting (Banting)\">Klinik Siti Banting (Banting)<\/option><option value=\"Poliklinik dan Surgeri Al-Haramain (Jenjarom)\">Poliklinik dan Surgeri Al-Haramain (Jenjarom)<\/option><\/select><\/li><li class=\"vfb-item vfb-item-text  \" id=\"item-vfb-694\"><label for=\"vfb-694\" class=\"vfb-desc\">* Masukkan nama klinik jika klinik panel anda tiada dalam senarai <\/label><input type=\"text\" name=\"vfb-694\" id=\"vfb-694\" value=\"\" class=\"vfb-text  vfb-large   \" \/><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-594\"><label class=\"vfb-desc\">1. Layanan staf di kaunter klinik adalah memuaskan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-594\" id=\"vfb-594-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-594-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-594\" id=\"vfb-594-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-594-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-594\" id=\"vfb-594-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-594-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-594\" id=\"vfb-594-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-594-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-594\" id=\"vfb-594-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-594-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-629\"><label class=\"vfb-desc\">2. Klinik beroperasi menepati waktu perkhidmatan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-629\" id=\"vfb-629-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-629-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-629\" id=\"vfb-629-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-629-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-629\" id=\"vfb-629-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-629-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-629\" id=\"vfb-629-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-629-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-629\" id=\"vfb-629-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-629-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-626\"><label class=\"vfb-desc\">3. Layanan yang diberikan oleh doktor klinik ini adalah memuaskan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-626\" id=\"vfb-626-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-626-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-626\" id=\"vfb-626-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-626-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-626\" id=\"vfb-626-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-626-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-626\" id=\"vfb-626-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-626-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-626\" id=\"vfb-626-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-626-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-596\"><label class=\"vfb-desc\">4. Kos rawatan di klinik ini adalah berpatutan dengan ubat-ubatan yang disediakan <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-596\" id=\"vfb-596-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-596-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-596\" id=\"vfb-596-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-596-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-596\" id=\"vfb-596-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-596-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-596\" id=\"vfb-596-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-596-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-596\" id=\"vfb-596-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-596-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-597\"><label class=\"vfb-desc\">5. Tempoh menunggu untuk mendapatkan rawatan adalah kurang dari satu jam <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-597\" id=\"vfb-597-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-597-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-597\" id=\"vfb-597-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-597-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-597\" id=\"vfb-597-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-597-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-597\" id=\"vfb-597-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-597-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-597\" id=\"vfb-597-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-597-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><li class=\"vfb-item vfb-item-radio  vfb-three-column \" id=\"item-vfb-598\"><label class=\"vfb-desc\">6. Klinik ini wajar disambung perkhidmatan sebagai klinik panel UTM <\/label><div><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-598\" id=\"vfb-598-1\" value=\"1\" class=\"vfb-radio  \" \/><label for=\"vfb-598-1\" class=\"vfb-choice\">1<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-598\" id=\"vfb-598-2\" value=\"2\" class=\"vfb-radio  \" \/><label for=\"vfb-598-2\" class=\"vfb-choice\">2<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-598\" id=\"vfb-598-3\" value=\"3\" class=\"vfb-radio  \" \/><label for=\"vfb-598-3\" class=\"vfb-choice\">3<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-598\" id=\"vfb-598-4\" value=\"4\" class=\"vfb-radio  \" \/><label for=\"vfb-598-4\" class=\"vfb-choice\">4<\/label><\/span><span class=\"vfb-span\"><input type=\"radio\" name=\"vfb-598\" id=\"vfb-598-5\" value=\"5\" class=\"vfb-radio  \" checked='checked' \/><label for=\"vfb-598-5\" class=\"vfb-choice\">5<\/label><\/span><div style=\"clear:both\"><\/div><\/div><\/li><div id=\"item-vfb-621\" class=\"vfb-section-div \"><h4>Cadangan \/ Pandangan<\/h4><li class=\"vfb-item vfb-item-textarea  \" id=\"item-vfb-627\"><label for=\"vfb-627\" class=\"vfb-desc\"> <\/label><div><textarea name=\"vfb-627\" id=\"vfb-627\" class=\"vfb-textarea  vfb-medium  \"><\/textarea><\/div><\/li><li class=\"vfb-item vfb-item-instructions  \" id=\"item-vfb-625\"><label class=\"vfb-desc\"> <\/label><!--<font size=\"4\" color=\"red\">Tarikh tutup : 31 Disember 2014<\/font>--><\/li><\/ul>&nbsp;<\/fieldset><fieldset class=\"vfb-fieldset vfb-fieldset-3 575 \" id=\"item-vfb-575\" style=\"display:block\"><div class=\"vfb-legend\"><h3><\/h3><\/div><ul class=\"vfb-section vfb-section-3\"><li class=\"vfb-item vfb-item-secret\"  style=\"display:block\"><label for=\"vfb-576\" class=\"vfb-desc\"><\/label><input type=\"hidden\" name=\"_vfb-required-secret\" value=\"0\" \/><input type=\"hidden\" name=\"_vfb-secret\" value=\"vfb-576\" \/><input type=\"text\" name=\"vfb-576\" id=\"vfb-576\" value=\"\" class=\"vfb-text  vfb-small  {digits:true,maxlength:2,minlength:2} \" style=\"display:block\" \/><li style=\"display:none;\"><label>This box is for spam protection - &lt;strong&gt;please leave it blank&lt;\/strong&gt;:<\/label><div><input name=\"vfb-spam\" \/><\/div><\/li>\n\t\t\t<li class=\"vfb-item vfb-item-submit\" id=\"item-vfb-577\">\n\t\t\t\t<input type=\"submit\" name=\"vfb-submit\" id=\"vfb-577\" value=\"Hantar\" class=\"vfb-submit \" \/>\n\t\t\t\t<\/li><\/ul>\n\t\t\t<\/fieldset><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/kl\/wp-json\/wp\/v2\/pages\/1059\" \/><\/form><\/div> <!-- .visual-form-builder-container -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":149,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-1059","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/pages\/1059","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/users\/149"}],"replies":[{"embeddable":true,"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/comments?post=1059"}],"version-history":[{"count":3,"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/pages\/1059\/revisions"}],"predecessor-version":[{"id":5188,"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/pages\/1059\/revisions\/5188"}],"wp:attachment":[{"href":"https:\/\/registrar.utm.my\/kl\/wp-json\/wp\/v2\/media?parent=1059"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}