Attachment D-Reference Check Form.pdf

PDF 98 KB Posted

Attached to
Early Support Services for Depression and Anxiety
Solicitation number
S-10000-00010108
Issued by
Marion County, Oregon

About this file

This document is an Attachment D - Reference Check Form for RFP S#10000-00010108 - Early Support Services For Depression and Anxiety issued by the DAS Procurement Services. The form is to be completed by proposers, requesting information about the type of services provided, customer service, satisfaction with the business relationship, problem resolution methods, likelihood of using the proposer's services again, aspects of most and least satisfaction, adherence to proposed timelines, and comparison of final project cost to initial proposed cost.

The form does not provide specifics on the project scope, quantities, response dates, award information, or contract term. It is focused solely on obtaining reference information about the proposer's prior performance and customer satisfaction.

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RFP S#10000-00010108 – Early Support Services For Depression and Anxiety Att. D

DAS Procurement Services, Version 2.0 – December 9, 2016 Page 1 of 1

ATTACHMENT D - REFERENCE CHECK FORM

Proposer Name: __________________________________________

Reference Entity: __________________________________________

Reference Contact Name: __________________________________________

Contact Telephone Number: __________________________________________

Contact Email Address: __________________________________________

Please respond to the following questions:

1. For what type of services did you engage Proposer?

2. Describe the services listed in response to question 1.

3. Describe Proposer’s customer service.

4. Describe your satisfaction with the business relationship with Proposer.

5. Describe Proposer’s methods for problem resolution.

6. How likely would you be to use Proposer’s services again?

7. With which aspect(s) of Proposer’s services are you the most satisfied?

8. With which aspect(s) of Proposer’s services are you the least satisfied?

9. How well did Proposer stay within the proposed timeline?

10. How did the final project cost compare to the initial proposed cost?

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