Appendix D - Corporate Reference Questionnaire.docx
DOCX document 44 KB Posted
- Attached to
- Learning Management System
- Solicitation number
- 25-RFP-12233
- Issued by
- Pennsylvania
About this file
This is a Corporate Reference Questionnaire appendix for Solicitation #25-RFP-12233 issued by the Pennsylvania Department of Human Services for a Learning Management System (LMS) procurement. The questionnaire is designed to gather feedback from organizations that have previous business relationships with proposers responding to this solicitation. References are instructed to complete the form and submit it directly to the Department of Human Services at RA-PWBPCMReferForms@pa.gov. The form requests information about the length of the business relationship, functions performed, contract dollar amounts, service delivery periods, and any additional comments regarding the proposer's performance.
The questionnaire evaluates proposer performance across fifteen key areas, including subcontractor selection capability, contract transition management, requirement fulfillment and timeline adherence, service delivery without waivers or extensions, budget management, subject matter expert utilization, personnel professionalism and experience, cooperation and communication with internal and external stakeholders, personnel issue handling, responsiveness to problem resolution, customer service skills, technical competency, and overall performance. References are also asked whether they would recommend the proposer to other agencies or companies and whether they would engage the proposer for future work. The evaluation uses a rating scale system with space for explanatory comments, particularly for any poor or negative ratings.
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Text version
APPENDIX D
Solicitation #: 25-RFP-12233, Title: Learning Management System
Pennsylvania Department of Human Services Corporate Reference Form
Appendix D
Corporate Reference Questionnaire
The purpose of this reference form is to obtain feedback about the organization (i.e. Proposer) who intends to submit a proposal, application, or quote in response to this solicitation. This form shall be completed by those contacts who receive this from the Proposer and shall be submitted directly to the PA Department of Human Services, RA-PWBPCMReferForms@pa.gov, upon completion.
The Pennsylvania Department of Human Services appreciates your participation and input.
Name of the organization/Proposer about which this information is being provided:
Click or tap here to enter text.
Name of the organization completing this questionnaire:
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Contact name, title, email address and phone number of the individual completing this questionnaire:
Click or tap here to enter text.
Date this form was completed:
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How long has the Proposer’s Organization had a business relationship with your organization? What function does/did the Proposer’s Organization perform for you? What is/was the dollar amount of your contract? What is/was the time period in which services were provided?
Please add any other comments, feedback, or information that you believe would be helpful.
Please rate the Proposer’s performance in the following areas.
Area
| Rating |
| Please explain any “Poor” or “No” ratings or provide any comments that would be helpful. |
| 1. If applicable, how successful was the Proposer at selecting capable Subcontractors who were able to provide value in support of the contract performance? |
| Choose an item. |
Click or tap here to enter text.
| 2. If applicable, how successful was the Proposer in picking up the contract/project responsibilities during transition to other contractor(s)? |
| Choose an item. |
Click or tap here to enter text.
| 3. How successful was the Proposer in meeting the overall requirements and tasks of the Project and adhering to established timelines? |
| Choose an item. |
| Click or tap here to enter text. |
| 4. How successful was the Proposer in delivering services without waiver or extensions? | |
| Choose an item. | Click or tap here to enter text. |
| 5. How successful was the Proposer in managing the project within the original project budget? | |
| Choose an item. | Click or tap here to enter text. |
| 6. Rate the Proposer’s use of subject matter experts to assist your organization in using their product. | |
| Choose an item. | Click or tap here to enter text. |
| 7. Rate the professionalism and the necessary experience/skill of the Proposer’s personnel. | |
| Choose an item. | Click or tap here to enter text. |
| 8. Rate the Proposer’s cooperation and communication with your in-house staff, other contractors, subcontractors and customers. | |
| Choose an item. | Click or tap here to enter text. |
| 9. Rate the Proposer’s ability to handle personnel issues (e.g. conflicts, turnover, providing experienced/skilled replacements). | |
| Choose an item. | Click or tap here to enter text. |
10. Rate the Proposer’s responsiveness in taking corrective action to address problems (issues) that arose during the project.
Choose an item. Click or tap here to enter text.
Area
| Rating |
| Please explain any “Poor” or “No” ratings or provide any comments that would be helpful. |
| 11. Rate the Proposer’s customer service skills. | |
| Choose an item. | Click or tap here to enter text. |
| 12. Rate the Proposer’s technical skills and knowledge. | |
| Choose an item. | Click or tap here to enter text. |
| 13. Rate the Proposer’s overall performance. | |
| Choose an item. | Click or tap here to enter text. |
| 14. Would you recommend this Proposer to another agency or company? | |
| Choose an item. | Click or tap here to enter text. |
| 15. Would you use this Proposer in the future? | |
| Choose an item. | Click or tap here to enter text. |
Upon completion, please return to RA-PWBPCMReferForms@pa.gov. Thank you.
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