Attachment 4 - Customer Satisfaction Survey.doc
DOC document 70 KB Posted
- Attached to
- AMENDMENT 0002: ROOF REPLACEMENT PROJECT AT ANCHORAGE AIR ROUTE TRAFFIC CONTROL CENTER IN ANCHORAGE, ALASKA
- Solicitation number
- DTFASA-17-R-00834
About this file
Attachment 4 - Customer Satisfaction Survey (doc)
View the file
Other files
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT 4
CUSTOMER SATISFACTION SURVEY INSTRUCTIONS
FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY
RENTON, WA
Sol# DTFASA-17-R-00834 The Federal Aviation Administration (FAA) is pursuing a firm for the Tech-Ops Roof Replacement Project at the Anchorage Air Route Traffic Control Center in Anchorage, Alaska. As part of the contracting process, we are collecting past performance information on firms and their key personnel. This information will be used to assist the FAA in the selection of a firm to complete the project. You have been listed as a past performance reference.
Please rate each of the criteria according to the following scale:
| 1 |
| 0 – 25% of the time |
| Strongly Disagree |
| PLEASE RETURN COMPLETED RESPONSE TO: |
Federal Aviation Administration
ATTN: Cindi Tjelde
1601 Lind Ave. SW
Renton, WA 98057-3356
E-MAIL: cindi.tjelde@faa.gov
| 2 |
| 26 – 40% of the time |
| Disagree |
| 3 |
| 41 – 55% of the time |
| Somewhat Disagree |
| 4 |
| 56 – 70% of the time |
| Somewhat Agree |
| 5 |
| 71 – 85% of the time |
| Agree |
| 6 |
| 86 – 100% of the time |
| Strongly Agree |
NA
No Knowledge of This Element
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
CUSTOMER SATISFACTION SURVEY
Your Name & Title yOUR Organization NAME/ADDRESS
TEL NO.
FAX :
E-MAIL:
CONTRACTOR’S NAME & ADDRESS
TITLE OR DESCRIPTION OF REQUIREMENT:
CONTRACT NUMBER:
CONTRACT VALUE (INCLUDING OPTIONS):
CONTRACT TYPE:
FORMCHECKBOX
FIXED PRICE
FORMCHECKBOX
COST + FEE
FORMCHECKBOX
COMPETITIVE
FORMCHECKBOX
NON-COMPETITIVE
FORMCHECKBOX
SET-ASIDE
FORMCHECKBOX
SEALED BID
FORMCHECKBOX
NEGOTIATED
FORMCHECKBOX
SEALED BID
FORMCHECKBOX
NEGOTIATED
CONTRACT AWARD & COMPLETION DATE:
| PAST PERFORMANCE ELEMENT |
| RATING |
| 1 |
| 2 |
| 3 |
| 4 |
| 5 |
| 6 |
| NA |
1.
Ability to manage project cost (minimize change orders)
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
2.
Ability to maintain project schedule (completed on time or early)
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
3.
Adherence to all safety standards and/or requirements
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
4.
Project coordination and scheduling of different trades
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
5.
Contractor’s problem solving skills
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
6.
Closeout Process (Did contractor submit as-builts, warranties, etc., promptly?)
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
7.
Ability to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
8.
Overall customer satisfaction
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
FORMCHECKBOX
Comments or additional information:
FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED
File details come from the government source that posted it. Updated .