Customer Satisfaction Survey Form.pdf

697DCK-20-R-00007

CUSTOMER SATISFACTION SURVEY (Page 1 of2)

SECTION 1

This Section is to be completed by the offeror and sent to the customer reference.

Nrune of firm being evaluated: _____________________________ _

Project Title & Location:------------------------------

Project Dollar Value: ---------------------------------

Year Completed: ______________ Project Manager: ______________ _

SECTI0N2

This section is to be completed by the customer reference and then emailed directly to: - Hany.lutz@faa.gov.

Forms submitted by other than the customer reference (i.e., by the offeror) will not be considered:

OVERVIEW: The firm shown above is submitting a proposal on a Federal Aviation Administration solicitation and provided your name as a customer reference. As part of our evaluation process we require information on the firm's past performance's. Your input is important to us to complete an accurate review. Responses are required by for inclusion in this evaluation. Your assistance is greatly appreciated.

Below please indicate your overall level of satisfaction with work performed by the frrm shown in Section 1. Please check off where appropriate and return by email (no later than to harry.lutz@faa.gov

Please rate you current level of satisfaction with their overall service performance:

__ Excellent(5)

__ Unacceptable (1)

__ Very Good ( 4) __ Good(3) __ Needs Improvement (2)

Comments: ________________________________________ _

How quickly do they respond to your needs, requests, or complaints?

__ Excellent(5)

__ Unacceptable (1)

Comments:

__ Very Good (4) __ Good(3) __ Needs Improvement (2)

697DCK-20-R-00007

CUSTOMER SATISFACTION SURVEY (Page 2 of 2)

How would you rate the problem solving capabilities and follow-up of their Operations Management?

__ Excellent(5) __ VeryGood(4) __ Good(3) __ Needslmprovement(2)

__ Unacceptable (1)

Comments:

How would you rate the performance of their on-site employees providing Weed Control Services for your facility?

__ Excellent(5) __ VeryGood(4) __ Good(3) __ Needslmprovement(2)

__ Unacceptable (1)

Comments:

Customer Reference Name: Date:

Contact Name:

Phone Number:----------------------

Email - _______________________ _

Thank you for completing this survey.

THIS FORM IS TO BE COMPLETED BY THE CUSTOMER REFERENCE AND

EMAILED DIRECTLY BY THE CUSTOMER REFERENCE, TO:

Harry.Iutz@faa.gov