E) Performance Customer Satisfaction Survey.pdf

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Attached to
Maui Janitorial Federal contract opportunity
Solicitation number
DTFANM-16-R-00040
Issued by
Department of Transportation Federal Aviation Administration Northwest Mountain Region

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E) Performance Customer Satisfaction Survey (pdf)

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Janitorial Service Performance Customer Satisfaction Survey Date:___________

________________________ (Contractor Name) is submitting a proposal on a Federal Aviation Administration solicitation and provided your name as a customer reference. Part of our evaluation process requires information on the firm’s past performance. Your input is important to us and responses are required by _________________(date & time) for inclusion of this evaluation. Your assistance is greatly appreciated.

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

_______Excellent (5) _______Very Good (4) _______Good (3) ______Needs Improvement (2)

_______Unacceptable (1)

Comments:____________________________________________________________________________________

How quickly do we 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 our Operations Management?

_______Excellent (5) _______Very Good (4) _______Good (3) ______Needs Improvement (2)

______ Unacceptable (1)

Comments: ____________________________________________________________________________________

How would you rate the performance of our on-site employees providing janitorial services for your facility?

_______Excellent (5) _______Very Good (4) _______Good (3) ______Needs Improvement (2)

______ Unacceptable (1)

Comments: ____________________________________________________________________________________

Your overall satisfaction in the following areas (please mark the appropriate rating with an “X”.

Excellent (5)

Very Good

(4)

Good (3)

Needs Improvement

(2)

Unacceptable (1)

Not applicable

Offices ________ ________ ________ ________ ________ ________ Conference Room ________ ________ ________ ________ ________ ________ Lobby/Entrance/Corridors ________ ________ ________ ________ ________ ________ Restrooms/Locker Rooms ________ ________ ________ ________ ________ ________ Medical/Physical Fitness ________ ________ ________ ________ ________ ________ Cafeterias/Break Rooms ________ ________ ________ ________ ________ ________ Tower Cabs ________ ________ ________ ________ ________ ________

Organization Name:_______________________________________________ Date:________________________

Contact:________________________________________________________

Phone #:________________________________________________________

Thank you for completing this survey.

THIS FORM IS TO BE COMPLETED BY THE CUSTOMER REFERENCE AND

EITHER EMAILED OR FAXED DIRECTLY, BY THE CUSTOMER REFERENCE, TO:

Matthew.J-CTR.Salter@faa.gov

FAX: 425-227-1156

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