Attachment J-5- Customer Satisfaction Survey.pdf

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Attached to
Janitorial Services- FAA Wisconsin 8 (WI8) Facilities
Solicitation number
697DCK-25-R-00128
Issued by

About this file

The document is a Customer Satisfaction Survey (CSS) form for the Federal Aviation Administration (FAA) solicitation number 697DCK-25-R-00128. The survey is designed to collect performance feedback from customers who have previously worked with a contractor, with ratings on service timeliness, responsiveness, problem-solving capabilities, and overall service performance. The survey uses a 5-point scale from Excellent (5) to Unacceptable (1), with space for additional comments, and is specifically related to a janitorial services contract for FAA facilities in Wisconsin and Illinois. The completed survey must be emailed directly to the FAA Contract Specialist at alicia.prince@faa.gov, with a strict requirement that surveys submitted by the bidding company will not be accepted.

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Customer Satisfaction Survey (CSS) Solicitation Number: 697DCK-25-R-00128

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.prince@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-5

Page 1 of 1 Version 1.0, Dated 12/20/2024

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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