Attachment J-4- Customer Satisfaction Survey.pdf

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Attached to
Weed Control Services ORD MDW DPA Federal contract opportunity
Solicitation number
697DCK-26-R-00130
Issued by
Department of Transportation Federal Aviation Administration Southwestern Region

About this file

This is a Customer Satisfaction Survey (CSS) template for Federal Aviation Administration (FAA) solicitation number 697DCK-26-R-00130. The survey is designed to be completed by companies that have previously performed work for the FAA and are submitting proposals in response to this solicitation. The survey documents the bidding company's name, the company completing the survey, the person completing it, the past performance contract number being referenced, types of services provided, and the annual contract cost.

The survey contains four rating questions using a five-point scale (Excellent=5, Very Good=4, Good=3, Needs Improvement=2, Unacceptable=1) with space for comments on each: timeliness of service completion (weekly through annually), contractor responsiveness to needs and complaints, problem-solving capabilities and follow-up of operations management, and overall satisfaction with service performance. Critical submission instructions require that surveys be emailed directly to the FAA Contract Specialist at alicia.m.grant@faa.gov and must be submitted by the company providing the ratings, not by the bidding company itself. Surveys submitted directly by the bidding company will not be accepted. The survey is version 1.0, dated February 5, 2026, and serves as Attachment J-4 to the solicitation.

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Text version

Customer Satisfaction Survey (CSS) Solicitation Number: 697DCK-26-R-00130

Company Submitting Proposal: __________________________________________________________________________________

Name of Company Completing Survey: ___________________________________________________________________________

Name of Person Completing Survey: _____________________________________________________________________________

Past Performance Contract # Referenced for Survey: _________________________________________________________________

Types of Services Provided under Contract: ________________________________________________________________________

Annual Cost of Contract: _______________________________________________________________________________________

I hereby submit the following ratings on behalf of the company named above as they submit a proposal in accordance with the Federal Aviation Administration solicitation listed above.

Signature of Person Completing Survey: _________________________________________ Date: __________________________

Are all services (weekly, bi-weekly, monthly, quarterly, and annually) completed in a timely manner?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

How quickly does this Contractor 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 this Contractor’s Operations Management?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

Please rate your current level of satisfaction with the overall service performance provided by this Contractor.

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

Thank you for completing this survey.

Please email the survey to the FAA Contract Specialist at alicia.m.grant@faa.gov.

The Company providing the ratings must submit this survey directly to FAA Acquisitions.

Any survey received directly from the Company bidding on the solicitation referenced will not be accepted.

ATTACHMENT J-4

Page 1 of 1 Version 1.0, Dated 2/5/2026

Jennifer Walker-Gome Highlight

Customer Satisfaction Survey CSS:
undefined:
Name of Company Completing Survey:
undefined_2:
Past Performance Contract Referenced for Survey:
Types of Services Provided under Contract:
Federal Aviation Administration solicitation listed above:
Date:
Are all services weekly biweekly monthly quarterly and annually completed in a timely manner:
Very Good 4:
Good 3:
Needs Improvement 2:
Unacceptable 1:
Excellent 5:
Comments:
How quickly does this Contractor respond to your needs requests or complaints:
Very Good 4_2:
Good 3_2:
Needs Improvement 2_2:
Unacceptable 1_2:
Excellent 5_2:
Comments_2:
How would you rate the problemsolving capabilities and followup of this Contractors Operations Management:
Very Good 4_3:
Good 3_3:
Needs Improvement 2_3:
Unacceptable 1_3:
Excellent 5_3:
Comments_3:
Please rate your current level of satisfaction with the overall service performance provided by this Contractor:
Very Good 4_4:
Good 3_4:
Needs Improvement 2_4:
Unacceptable 1_4:
Excellent 5_4:
Comments_4:

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