| ID | 120 |
|---|---|
| Title | DATA AKSES PENGOLAHAN AIR LIMBAH DOMESTIK |
| Description | DATA AKSES PENGOLAHAN AIR LIMBAH DOMESTIK - PU KOTAKU 2022 |
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RT\/RW","group":"","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"text"},{"name":"alamat","alias":"6. Alamat","group":"","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"longtext"},{"name":"nama","alias":"1. Nama","group":"Identitas Responden","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"text"},{"name":"jenis_kelamin","alias":"2. Jenis Kelamin","group":"Identitas Responden","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"1.Laki-Laki,2.Perempuan"},{"name":"status_dalam_keluarga","alias":"3.Status dalam Keluarga","group":"Identitas Responden","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"1.Suami\/Ayah,2.Istri\/Ibu,3.Anak,4.Lainnya"},{"name":"pekerjaan","alias":"4.Pekerjaan","group":"Identitas Responden","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"1.Wiraswasta,2.PNS,3.Pegawai Swasta,4.TNI\/Polri,5.Buruh Harian,6.Petani\/Peternak\/Nelayan,7.Profesional,8.IRT,9.Pensiunan,10.Karyawan BUMN\/BUMD,11.Tidak Bekerja,12.Lainnya"},{"name":"pendidikan","alias":"5.Pendidikan","group":"Identitas Responden","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"1.Tidak Pernah Sekolah,2.Tidak Tamat SD,3.Tamat SD,4.Tidak Tamat SMP\/MTs,5.Tamat SMP\/MTs,6.Tidak Tamat SMA\/Ma,7.Tamat SMA\/Ma,8.Tidak Tamat D1-D4,9.Tamat D1-D4,10.Tidak Tamat S1,11.Tamat S1,12.Tamat S2-S3,"},{"name":"jumlah_kk","alias":"6.Jumlah KK","group":"Identitas Responden","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"number"},{"name":"jumlah_total_penghuni_rumah_dan_rumah_tangga","alias":"7.Jumlah Total Penghuni Rumah dan Rumah Tangga","group":"Identitas Responden","placeholder":"","required":"true","validate":"","validatePattern":"","validateMessage":"","type":"number"},{"name":"penghuni_rumah","alias":"Penghuni Rumah","group":"Identitas Responden","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"jsonvalues","default":"[\n {\"label\":\"Nama\",\"placeholder\":\"\",\"type\":\"text\"},\n {\"label\":\"NIK\",\"placeholder\":\"\",\"type\":\"text\"},\n {\"label\":\"Status Hubungan dalam Rumah Tangga atau KRT\",\"placeholder\":\"\",\"type\":\"text\"},\n {\"label\":\"Jenis Kelamin\",\"placeholder\":\"\",\"type\":\"text\"},\n {\"label\":\"Umur\",\"placeholder\":\"\",\"type\":\"number\"},\n {\"label\":\"Pendidikan orang di atas umur 15 tahun\",\"placeholder\":\"\",\"type\":\"text\"},\n {\"label\":\"Pekerjaan\",\"placeholder\":\"Pekerjaan\",\"type\":\"text\"},\n {\"label\":\"Estimasi Pendapatan per Bulan dalam Rupiah\",\"placeholder\":\"\",\"type\":\"number\"}\n]"},{"name":"jumlah_total_pendapatan_per_bulan_dari_seluruh_penghuni_rumah","alias":"1.Jumlah Total Pendapatan Per Bulan dari Seluruh Penghuni Rumah","group":"Ekonomi","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Dibawah RP 1 Juta, Rp 1 Juta s.d. 2 Juta, Diatas Rp 2 Juta s.d. 4 Juta, Diatas Rp 4 Juta s.d. 6 Juta, Diatas Rp 6 Juta s.d. 8 Juta, Diatas Rp 8 Juta s.d. 10 Juta, Diatas Rp 10 Juta s.d. 12 Juta, Diatas Rp 12 Juta s.d. 14 Juta, Diatas Rp 14 Juta s.d. 16 Juta, Diatas Rp 16 Juta s.d. 18 Juta, Diatas 18 Juta, "},{"name":"pendapatan_tambahan","alias":"2.Ada Pendapatan Tambahan diluar Pekerjaan ? ","group":"Ekonomi","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Ya, Tidak"},{"name":"air_untuk_minum","alias":"1.Air yang Dipergunakan untuk Minum? (Yang termasuk ledeng\/PAM adalah sumber air PDAM atau sumur bor dalam dengan jaringan perpipaan)","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"1. Air Kemasan Bermerk,2. Air Isi Ulang,3. Penjual Air Keliling,4. Ledeng \/ PAM Sendiri,5. Ledeng \/ PAM Tetangga,6. Ledeng \/ Hidran Umum,7. Sumur Gali Sendiri,8. Sumur Gali Tetangga\/Umum,9. Sumur Bor Dangkal\/Sumur Pompa Tetangga\/Umum,10. Sumur Bor Dangkal\/Sumur Pompa Sendiri,11. Mata Air,12. Air Permukaan (sungai\/danau\/kolam\/irigasi),13. Air Hujan yang ditampung,Lainnya, "},{"name":"air_untuk_masak_mandi_mencuci_dll","alias":"2.Air yang Dipergunakan untuk Masak, Mandi, Mencuci, Dll","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"1. Air Kemasan Bermerk,2. Air Isi Ulang,3. Penjual Air Keliling,4. Ledeng \/ PAM Sendiri,5. Ledeng \/ PAM Tetangga,6. Ledeng \/ Hidran Umum,7. Sumur Gali Sendiri,8. Sumur Gali Tetangga\/Umum,9. Sumur Bor Dangkal\/Sumur Pompa Tetangga\/Umum,10. Sumur Bor Dangkal\/Sumur Pompa Sendiri,11. Mata Air,12. Air Permukaan (sungai\/danau\/kolam\/irigasi),13. Air Hujan yang ditampung,Lainnya, "},{"name":"jarak_tangki_septik_cubluk_dengan_sumber_air","alias":"Jika Sumber air adalah nomor 7\/8\/9\/10\/11\/12\/13, 3.Berapa Jarak antara Tangki Septik \/ Cubluk dengan Sumber air terdekat (jika ada) ?","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Kurang dari 10 m, Lebih dari 10 m, "},{"name":"pam_sendiri_berapa_kali_memperoleh_air_pam","alias":"4.Jika memiliki Sambungan PAM Sendiri, Berapa Kali Biasanya Memperoleh Air PAM ?","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Biasanya Setiap Hari,2 - 4 Kali Seminggu,1 Kali Seminggu,Tidak Tentu \/ Tidak Tahu, "},{"name":"pernahkah_air_pam_tidak_keluar_dalam_dua_minggu_terakhir","alias":"5.Dalam 2 Minggu Terakhir, Pernahkan Air PAM Tidak Keluar Sama Sekali \/ Tidak Dapat Digunakan ? ","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Pernah,Tidak Pernah,Tidak Tahu,"},{"name":"kualitas_air_pam","alias":"6.Bagaimana Kualitas Air PAM di Daerah Ini ?","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Baik \/ Tidak Ada Masalah,Ada Masalah Bau \/ Rasa \/ Berwarna, "},{"name":"kualitas_air_sumur","alias":"7.Bagaimana Kualitas Air Sumur di Daerah Ini ?","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Baik \/ Tidak Ada Masalah,Ada Masalah Bau \/ Rasa \/ Berwarna, "},{"name":"sumber_air_mengalami_kekeringan_saat_kemarau","alias":"8.Diwaktu Kemarau, Apakah Sumber Air Sumur \/ Air Tanah di Sini Pernah Mengalami Kekeringan ?","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Ya, Pernah,Tidak Pernah,Tidak Tahu, "},{"name":"lama_sumur_mengalami_kekeringan","alias":"9.Jika Sumur Pernah Mengalami Kekeringan, Berapa Lama ?","group":"Sarana Air Bersih","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"2 Minggu s.d. 1 Bulan,Lebih dari 1 Bulan s.d. 3 Bulan,Lebih dari 3 Bulan, "},{"name":"jumlah_penggunaan_air_harian","alias":"10.Berapa Pemakaian Jumlah Liter Air yang Bapak\/Ibu\/Sdr Gunakan untuk (Minum, Masak, dan Mandi\/Cuci) Per Hari ?","group":"Sarana Air Bersih","placeholder":"Liter\/Orang","required":"","validate":"","validatePattern":"","validateMessage":"","type":"number"},{"name":"tampat_mandi","alias":"1.Dimana Keluarga Ini Biasa Mandi ?","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Kamar Mandi Sendiri,Kamar Mandi Tetangga \/ Saudara,MCK Umum,Danau \/ Sungai,\nLainnya, "},{"name":"saluran_pembuangan_air_kotor_dari_kamar_mandi","alias":"2.Bagaimana Saluran Pembuangan Air Kotor (Air Cucian, Grey Water) dari Kamar Mandi Rumah Ini ? (Lakukan Pengamatan Langsung)","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Saluran Pengolahan Limbah Kota,Saluran Terbuka ke Kolam \/ Rawa \/ Genangan,Saluran Terbuka ke Cubluk,Saluran Terbuka ke Tangki Septik,Saluran Tertutup ke riool\/ Selokan\/ Sungai,Saluran Tertutup ke Kolam \/ Rawa \/ Genangan,Saluran Tertutup Ke Cubluk,Saluran Tertutup Ke Tangki Septic,Sistem Perpipaan (Komunal \/ Kawasan Ke IPAL),Tidak Tahu \/ Tidak Ada, "},{"name":"tampat_keluarga_bab","alias":"3.Dimana Keluarga Ini Biasa BAB","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Jamban Sendiri,Jamban Tetangga \/ Saudara,MCK Umum,Sungai \/ Selokan \/ Got \/ Laut,Kolam \/ Rawa \/ Danau,Tanah Kosong,Kantong Kresek,Lainnya, "},{"name":"jamban_yang_digunakan","alias":"4.Seperti Apa Jamban yang Digunakan ?","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Jamban Leher Angsa, Lainnya, "},{"name":"saluran_pembuangan_dari_wc","alias":"5.Bagaimana Saluran Pembuangan dari WC (Black Water) dari Kamar Mandi Rumah Ini ? (Lakukan Pengamatan Langsung)","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Saluran Terbuka ke Riool \/ Selokan \/ Sungai (riool = saluran ke ipal kota), Saluran Terbuka ke Kolan \/ Rawa \/ Genangan, Saluran Terbuka ke Cubluk, Saluran Terbuka ke Tangki Septik, Saluran Tertutup ke riool \/ Selokan \/ Sungai (riool = saluran ke ipal kota), Saluran Tertutup ke Kolam \/ Rawa \/ Genangan, Saluran Tertutup Ke Cubluk, Saluran Tertutup Ke Tangki Septic, Sistem Perpipaan (Komunal \/ Kawasan Ke IPAL), Tidak Tahu \/ Tidak Ada, "},{"name":"jenis_tangki_septik","alias":"6.Jenis Tangki Septik yang digunakan ?","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Tangki Septik Fabrikasi Sesuai dengan SNI,Tangki Septik Konstruksi Sendiri sesuai dengan SNI (Kedap Samping dan Dasar),Tangki Septik Tidak Sesuai dengan SNI (Buis\/Gumbleng\/Pasangan Bata tidak kedap), "},{"name":"letak_tangki_septik_atau_lubang_pembuangan_wc","alias":"7.Dimana Letak Tangki Septik \/ Lubang Pembuangan WC Di Rumah Ini","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Di Pekarangan Depan, Di Pekarangan Samping, Di Pekarangan Belakang, Di Bawah Garasi, Di Dalam Rumah, Lainnya, Tidak Jelas \/ Tidak Tahu, "},{"name":"waktu_pembuatan_tangki_septik_atau_cubluk_dibuat","alias":"8.Kapan Tangki Septik \/ Cubluk di Rumah ini di Buat ?","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Kurang dari 1 Tahun yang Lalu,1 Sampai 3 Tahun yang Lalu,Lebih dari 3 Tahun s.d. 5 Tahun yang Lalu,Lebih dari 5 Tahun yang Lalu,Tidak Tahu \/ Tidak Ada, "},{"name":"terakhir_kali_tangki_septik_atau_cubluk_disedot","alias":"9.Kapan Terakhir Kali Tangki Septik \/ Cubluk di Sini Disedot \/ Dikosongkan ?","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"0 Sampai 3 Tahun yang Lalu,3 Sampai 5 Tahun yang Lalu,Lebih dari 5 Tahun yang Lalu,Belum Pernah disedot \/ Dikosongkan,\nTidak Tahu, "},{"name":"keberadaan_akses_penyedotan_atau_lubang_manhole_pada_tangki_septik","alias":"10.Keberadaan Akses Penyedotan \/ Lubang Manhole pada Tangki Septik :","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Ada. Berupa Lubang Pipa,Tidak Ada,Ada. Berupa Manhole, "},{"name":"cara_penyedotan_atau_pengosongan","alias":"11.Bagaimana Cara Penyedotan \/ Pengosongannya ?","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Oleh Mobil Tinja dari Pemerintah Daerah,Dikuras oleh Tukang yang Disuruh\/Penyedot Swasta,Dikuras Sendiri, "},{"name":"biaya_penyedotan","alias":"12.Biaya Penyedotan","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Rp. 100.000 -Rp. 200.000,Rp. 200.000 - Rp. 300.000,Lebih dari Rp. 300.000, "},{"name":"jarak_tangki_septik_atau_cubluk_dengan_sumur_terdekat","alias":"13.Berapa Jarak antara Tangki Septik \/ Cubluk dengan Sumur terdekat (jika ada) ?","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Kurang dari 10 m,Lebih dari 10 m, "},{"name":"ketersediaan_lahan_pembangunan_akses_sanitasi","alias":"14.Ketersediaan Lahan Pembangunan Akses Sanitasi (Apabila tidak memiliki Jamban\/tangki septik)","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Ada,Tidak Ada, "},{"name":"minat_untuk_mengganti_dengan_tangki_septik_pabrikasi","alias":"15.Bila tangki septik tidak sesuai SNI, jika ada program pemerintah, apakah berminat untuk diganti dengan tangki septik pabrikasi (Syarat dan ketentuan berlaku)","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Berminat,Tidak Berminat, "},{"name":"bersedia_ikut_dalam_program_layanan_lumpur_tinja_terjadwal","alias":"16.Bersedia Ikut Dalam Program Layanan Lumpur Tinja Terjadwal","group":"Sarana Kamar Mandi dan Air Limbah Rumah Tangga","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Bersedia,Tidak Bersedia, "},{"name":"jenis_bangunan_rumah","alias":"1.Jenis Bangunan Rumah","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Permanen,Semi Permanen,Darurat, "},{"name":"status_kepemilikan_rumah","alias":"2.Status Kepemilikan Rumah","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"SHM atau HGB,Sewa \/ Kontrak,Menumpang,Rumah Sendiri diatas Tanah Orang Lain, "},{"name":"bukti_kepemilikan","alias":"3.Bukti Kepemilikan","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Sertifikat,Sporadik,Tidak Ada,Lain-lain, "},{"name":"kondisi_rumah","alias":"4.Kondisi Rumah","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Baik,Sederhana,Rusak,Lain-lain, "},{"name":"material_atap_rumah","alias":"5.Material Atap Rumah ","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Genteng,Seng\/Asbes,Alang-alang,Lain-lain, "},{"name":"material_dinding_rumah","alias":"6.Material Dinding Rumah ","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Tembok,Triplek,Bedek,Lain-lain, "},{"name":"material_lantai_rumah","alias":"7.Material Lantai Rumah ","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"Tegel\/Keramik,PC,Tanah,Lain-lain, "},{"name":"luas_rumah","alias":"8.Luas (Meter Persegi)","group":"Tanah dan Bangunan Rumah","placeholder":"","required":"","validate":"","validatePattern":"","validateMessage":"","type":"list","default":"< 21 meter persegi,\n21 meter persegi - 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| Tags | ANDROID;BASELINE SPM PU |
| Remarks | DATA AKSES PENGOLAHAN AIR LIMBAH DOMESTIK - PU KOTAKU 2022 |
| Status | 1 |
| Map Status | dipublikasikan |
| Author Fullname | Shentin Abigail |
| Author Email | shentinabigail@gmail.com |