03f - Customer Satisfaction Survey - Template Fill In.pdf

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Attached to
Snow Removal/Deicing and Grounds Maintenance Services are required at the FAA Chicago ARTCC in AURORA IL.
Solicitation number
697DCK-25-R-00384
Issued by

About this file

This is a Customer Satisfaction Survey (CSS) form for a Federal Aviation Administration (FAA) solicitation numbered 697DCK-25-R-00384. The survey is designed to collect performance feedback from customers about a contractor's services, with ratings on a 5-point scale (Excellent to Unacceptable) across four key evaluation areas: timeliness of services, responsiveness to needs/requests/complaints, problem-solving capabilities of operations management, and overall service performance. The survey requires the customer to provide specific contract details including the contract number, types of services, and annual contract cost, and must be submitted directly to the FAA Contract Specialist at valentin.ctr.saucedo@faa.gov. The form explicitly states that any survey received directly from the bidding company will not be accepted, ensuring the integrity of the performance evaluation process.

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Customer Satisfaction Survey (CSS) Solicitation Number: 697DCK-25-R-00384

Company Submitting Proposal: __________________________________________________________________________________

Name of Company Completing Survey: ___________________________________________________________________________

Name of Person Completing Survey: _____________________________________________________________________________

Past Performance Contract # Referenced for Survey: _________________________________________________________________

Types of Services Provided under Contract: ________________________________________________________________________

Annual Cost of Contract: _______________________________________________________________________________________

I hereby submit the following ratings on behalf of the company named above as they submit a proposal in accordance with the Federal Aviation Administration solicitation listed above.

Signature of Person Completing Survey: _________________________________________ Date: __________________________

Are all services (weekly, bi-weekly, monthly, quarterly, and annually) completed in a timely manner?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

How quickly does this Contractor respond to your needs, requests, or complaints?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

How would you rate the problem-solving capabilities and follow-up of this Contractor’s Operations Management?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

Please rate your current level of satisfaction with the overall service performance provided by this Contractor.

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

Thank you for completing this survey.

Please email the survey to the FAA Contract Specialist at valentin.ctr.saucedo@faa.gov.

The Company providing the ratings must submit this survey directly to FAA Acquisitions.

Any survey received directly from the Company bidding on the solicitation referenced will not be accepted.

Customer Satisfaction Survey CSS:
undefined:
Name of Company Completing Survey:
undefined_2:
Past Performance Contract Referenced for Survey:
Types of Services Provided under Contract:
Federal Aviation Administration solicitation listed above:
Date:
Are all services weekly biweekly monthly quarterly and annually completed in a timely manner:
Very Good 4:
Good 3:
Needs Improvement 2:
Unacceptable 1:
Excellent 5:
Comments:
How quickly does this Contractor respond to your needs requests or complaints:
Very Good 4_2:
Good 3_2:
Needs Improvement 2_2:
Unacceptable 1_2:
Excellent 5_2:
Comments_2:
How would you rate the problemsolving capabilities and followup of this Contractors Operations Management:
Very Good 4_3:
Good 3_3:
Needs Improvement 2_3:
Unacceptable 1_3:
Excellent 5_3:
Comments_3:
Please rate your current level of satisfaction with the overall service performance provided by this Contractor:
Very Good 4_4:
Good 3_4:
Needs Improvement 2_4:
Unacceptable 1_4:
Excellent 5_4:
Comments_4:

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