4 LAMPIRAN, Kuesioner Informedconsent

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 Lampiran 1 KUESIONER PENELITIAN PERBEDAAN pH DAN AKTIVITAS ENZIM AMILASE AIR LIUR PADA PEROKOK FILTER DAN NONFILTER DI KALANGAN PENGENDARA BECAK MOTOR  No. Responden : ……………………  I. Data Responde n  Nama : ……………………………………………………. Umur : …………………………………............................. Suku : ……………………………………………………. Agama : ………………………………………………........  II. Pertanyaan Petunjuk pengii!n " Berilah tanda check list (tanda centang)  pada salah satu  jawaan !ang paling tepat menurut Anda. ". Apakah Anda mero kok# o $a o %idak &. 'enis rokok apa ! ang An da ko nsumsi # o ilter o  Non ilter 

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