Attachment E Customer Satisfaction Survey to 697DCK-19-R-00567.docx

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Water Treatment Services for Salt Lake City ARTCC
Solicitation number
697DCK-19-R-00567
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Attachment E Customer Satisfaction Survey to 697DCK-19-R-00567 (docx)

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697DCK-19-R-00567

Water Treatment/Maintenance 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 your 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 Water Treatment/Maintenance services for your facility?

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

______ Unacceptable (1)

Comments: ____________________________________________________________________________________

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:

Karen.ctr.mcivor@faa.gov

FAX: 206-231-3033

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