Attachment J-5- Customer Satisfaction Survey.pdf
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- Solicitation number
- 697DCK-25-R-00128
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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