1131PL26R0056 - Past Performance Survey.doc

This is a Past Performance Survey form used by the United States Trade and Development Agency (USTDA) for the solicitation 1131PL26R0056 titled "Regional Asia - Energy and Critical Minerals Opportunities Project Scoping Service." The survey is a template designed to collect feedback from past clients or agencies regarding a contractor's performance on previous work.

The survey requests information about the contractor being reviewed, including the contract number, the reviewing agency or organization, and the respondent's contact information. It evaluates contractor performance across six key areas: compliance with contract terms and conditions, ability to complete work on schedule, compliance with actual requirements, ability to implement corrective measures, willingness to recommend the contractor for future work, and any additional performance comments. Responses are provided on a five-point scale ranging from Substantial Confidence to No Confidence, with options for Yes/No responses and comment sections. Completed surveys must be submitted to USTDA's Office of Acquisition Management at Contractproposals@ustda.gov no later than 1:00 PM on September 11, 2026. This is a supporting document for a small business set-aside procurement under NAICS Code 541690 for scientific and technical consulting services, limited to U.S. firms or individuals with required citizenship status.