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ANGKET

I. Petunjuk Umum
Sehubungan dengan penelitian yang sedang saya laksanakan di Desa Kotes
Kecamatan Gandusari Kabupaten Blitar, berkenaan dengan pelaksanaan tersebut, saya
bermaksut ingin mendapatkan data yang dapat membantu dengan pengisian angket (daftar
pertanyaan) yang akan saya olah menjadi data yang utuh.
Penelitian ini berjudul Legenda Candi Kotes. Untuk itu, saya mohon kesungguhan
dan keikhlasan Bapak/ Ibu/ Saudara/ Saudari/ Kakak/ Adik untuk mengisi pertanyaan yang
telah saya sediakan dalam angket ini.
Atas kesediannya, saya sampaikan terimakasih.
II. Petunjuk Khusus
Dalam angket ini terdapat 12 pertanyaan.
Bentuk pertanyaan seabagai berikut :
a. Pilihan ganda berjumlah tujuh pertanyaan (pada pertanyaan tertentu, diperbolehkan
memilih lebih dari satu jawaban)
b. Uraian berjumlah lima pertanyaan
Rambu rambu (daftar) pertanyaan
Hari/Tanggal :. , 2012
A. Keterangan mengenai responden
1. Nama
2. Umur
3. Tempat Kelahiran
4. Tinggal di daerah ini sejak
5. Jenis Kelamin
6. Agama
7. Pendidikan terakhir
8. Pekerjaan
9. Alamat
10. Kedudukan dalam masyarakat
11. Mengetahui informasi ini dari

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B. Daftar Pertanyaan
a) Pilihlah jawaban yang saudara anggap paling sesuai!
1. Apakah Anda mengetahui sejarah dari Candi Kotes?
a. Iya
c. Sedikit
b. Tidak
d. Lainnya ...............
2. Berasal dari manakah nama Candi Kotes?
a. Nama daerah
c. Nama pusaka
b. Nama tokoh
d. Lainnya ..............
3. Apakah peranan Candi Kotes bagi warga?
a. Tempat wisata
c. Tempat Ibadah
b. Aset wilayah
d. Lainnya ................

4. Bagaimana cara warga untuk menjaga Candi Kotes?


a. Upacara
c. Yasinan
b. Doa bersama
d. Lainnya ................
5. Adakah upacara khusus untuk ritual Candi Kotes?
a. Iya
c. Kadang-kadang
b. Tidak
d. Lainnya ................
6. Upaca khusus seperti apa yang sering saudara ikuti dalam rangka menjaga sejarah dan
kebudayaan Desa Demuk?
a. Pemujaan
c. Yasin dan Tahlil
b. Bersih desa
d. Lainnya ................
7. Siapakah yang menjaga makam Mbah Djayeng Kusumo?
a. Juru kunci
c. Masyarakat setempat
b. Pamong desa
d. Lainnya ................
b) Isilah uraian berikut sesuai dengan pengetahuan saudara!
1. Apa yang saudara ketahui tentang Candi Kotes? Ceritakan secara ringkas!
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2. Bagaimana awal mula terjadinya Candi Kotes? Ceritakan secara ringkas!
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3. Apakah kelebihan yang dimiliki Kotes? Jelaskan!
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4. Tradisi khusus seperti apa yang sering dilakukan untuk memperingati Candi Kotes?
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5. Dari mana dan bagaimana cara Anda mengetahui cerita tentang Candi Kotes serta
hubungannya dengan Desa Kotes?
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