31. c Customer Satisfaction Survey.pdf

SECTION I ‐‐TO BE COMPLETED BY THE OFFEROR AND PROVIDED TO THE CUSTOMER REFERENCE

Name of Firm Being Evaluated: ___________________________________________________________________

Project Title & Location: ______________________________________________________

Project Dollar Value: _______________________________

Year Completed: _____________ Project Manager: _______________________________________________

SECTION 2 ‐‐TO BE COMPLETED BY THE CUSTOMER REFERENCE AND MAILED, HAND‐DELIVERED OR FAXED

DIRECTLY TO: Forms submitted by other than the customer (i.e., by the offeror), will not be considered.

DOT/FAA or bill.lockard@faa.gov

Bill Lockard AAQ51 0

170 I Columbia Ave.

College Park, GA 30337

OVERVIEW: The firm shown above has submitted a proposal on a Federal Aviation Administration solicitation and provided your name as a customer reference. Part of our evaluation process requires information on the firm's past performance. Your input is important to us and responses are required by (date & time) for inclusion in this evaluation. Your assistance is greatly appreciated.

In blocks below, please indicate your overall level of satisfaction with work performed by the firm shown in Section I. Mark Not

Applicable (N/A) for any areas that do not apply. Provide any additional comments on page 2.

1= Poor, 5 = Outstanding

1. Kept You Informed & Treated You as Important Member of the Team

2. Displayed Flexibility in Responding to Your Needs

3. Displayed Initiative in Problem Solving

4. Resolved Your Concerns

5. Completed Your Project Milestones on Time

6. Managed the Project Effectively (including adequate Cost Controls)

7. Managed their Work Force Effectively (including Subcontractors)

8. Maintained an Effective Quality Control Program

9. Provided Warranty Support

10. Maintained Operational Continuity at Existing Facility During Project

11. Minimized Adverse Construction Impacts on Ongoing Operations

12. Your OVERALL Level of Customer Satisfaction

13. Was payment withheld or liquidated damages assessed? (If yes, please describe below). Yes No N/A

1 2 3 4 5 N/A

ATTACHMENT NO. 3

CUSTOMER SATISFACTION SURVEY (PAGE l OF 2)

697DCK‐18‐R‐00088

On this project, the firm:

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

1 2 3 4 5 N/A

14. REMARKS: (Please speak to the QUALITY OF PRODUCT PRODUCED / ADHERENCE TO PROJECT SCHEDULE and

PROJECT MANAGEMENT)

Your Name: _________________________________________ Phone Number: ____________________________

Firm Name: __________________________________________________________

Relationship to this Project: ______________________________________________________________

CUSTOMER SATISFACTION SURVEY (PAGE 2 OF 2)

697DCK‐18‐R‐00088