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Customer Performance Survey (docx)

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(Change to type of service) Service Performance Customer Satisfaction Survey Date:___________

________________________ (Contractor Name) is submitting 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 of this evaluation. Your assistance is greatly appreciated.

Please rate you current level of satisfaction with our overall service performance:

_______Excellent (5) _______Very Good (4) _______Good (3) ______Needs Improvement (2)

_______Unacceptable (1)

Comments:____________________________________________________________________________________

How quickly do we 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 our Operations Management?

_______Excellent (5) _______Very Good (4) _______Good (3) ______Needs Improvement (2)

______ Unacceptable (1)

Comments: ____________________________________________________________________________________

How would you rate the performance of our on-site employees providing janitorial services for your facility?

_______Excellent (5) _______Very Good (4) _______Good (3) ______Needs Improvement (2)

______ Unacceptable (1)

Comments: ____________________________________________________________________________________

Your overall satisfaction in the following areas (please mark the appropriate rating with an “X”.

Excellent (5)
Very Good

(4) Good (3)

Needs Improvement (2)
Unacceptable (1)
Not applicable
Offices
________
________
________
________
________
________
Conference Room
________
________
________
________
________
________
Lobby/Entrance/Corridors
________
________
________
________
________
________
Restrooms/Locker Rooms
________
________
________
________
________
________
Medical/Physical Fitness
________
________
________
________
________
________
Cafeterias/Break Rooms
________
________
________
________
________
________
Tower Cabs
________
________
________
________
________
________

Organization Name:_______________________________________________ Date:________________________

Contact:________________________________________________________

Phone #:________________________________________________________

Thank you for completing this survey.

THIS FORM IS TO BE COMPLETED BY THE CUSTOMER REFERENCE AND EITHER EMAILED OR FAXED DIRECTLY, BY THE CUSTOMER REFERENCE, TO:

Your email address@faa.gov

FAX: 425-227-2550

File details come from the government source that posted it.