Attachment 3 - Customer Satisfaction Survey.doc
DOC document 82 KB Posted
- Attached to
- Amendment 0001 - Alaska FAA Facility Assessments Federal contract opportunity
- Solicitation number
- 697DCK-22-R-00010
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 697DCK-22-R-00010 Amendment 0001.pdf | ||
| RFO 697DCK-22-R-00010.pdf | ||
| Attachment 1 - FINAL Alaska FSS FC Surveys SCOPE 2021 Rev 2.pdf | ||
| Attachment 2 - Facility Site Inspection Checklist.pdf | ||
| Attachment 4 - Face Mask Policy - Updated 8-16-2021.pdf |
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Text version
CUSTOMER SATISFACTION SURVEY INSTRUCTIONS
SOLICITATION NO. 697DCK-22-R-00010
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
Des Moines, WA The Federal Aviation Administration (FAA) is considering a contractor to perform facility assessments on FAA Flight Service Station (FSS) facilities throughout the state of Alaska. As part of the solicitation process, we are collecting past performance information on contractors and their key personnel. This information will be used to assist the FAA in the selection of a contractor to complete the project. You have been listed as a past performance reference.
Please rate each of the criteria according to the following scale:
| 1 |
| 0 – 25% of the time |
| Strongly Disagree |
| PLEASE RETURN COMPLETED RESPONSE TO: |
Federal Aviation Administration
ATTN: Cindi Tjelde E-MAIL: cindi.tjelde@faa.gov
| 2 |
| 26 – 40% of the time |
| Disagree |
| 3 |
| 41 – 55% of the time |
| Somewhat Disagree |
| 4 |
| 56 – 70% of the time |
| Somewhat Agree |
| 5 |
| 71 – 85% of the time |
| Agree |
| 6 |
| 86 – 100% of the time |
| Strongly Agree |
NA
No Knowledge of This Element
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
CUSTOMER SATISFACTION SURVEY
RATER’S Name & Title
RATER’S Organization / agency
RATER’S TEL NO.
RATER’S E-MAIL ADDRESS:
CONTRACTOR’S NAME & ADDRESS
PROJECT TITLE OR DESCRIPTION OF REQUIREMENT:
CONTRACT NUMBER:
CONTRACT VALUE (INCLUDING OPTIONS):
CONTRACT TYPE:
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FIXED PRICE
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COST + FEE
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COMPETITIVE
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NON-COMPETITIVE
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SET-ASIDE
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SEALED BID
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NEGOTIATED
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SEALED BID
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NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
| PAST PERFORMANCE ELEMENT |
| RATING |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
1.
Contractor was able to manage project cost.
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2.
Contractor was able to maintain project schedule (completed on time or early).
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3.
Contractor adhered to all contract requirements
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4.
Contractor was efficient in project coordination.
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5.
Contractor utilized problem solving skills effectively when problems arose during the project.
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6.
Contractor was able to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)
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7.
Contractor made necessary changes or corrective work as necessary in a timely manner?
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8.
Overall customer satisfaction
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Comments or additional information:
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
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