e Attachment 9 - Customer Satisfaction Survey.pdf

CUSTOMER SATISFACTION SURVEY INSTRUCTIONS

SOLICITATION NO. 697DCK-22-R-00545

FEDERAL AVIATION ADMINISTRATION ACQUISITION ACTIVITY

Palmdale

The Federal Aviation Administration (FAA) is considering a contractor for the ADA Door replacement in the CCF at Palmdale, ARTCC. As part of the contracting process, we are collecting past performance information on contractors and their key personnel. This information will be used to assist the FAA in the selection of a contractor 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: Deana Galloway E-MAIL: deana.galloway@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

RATER’S NAME & TITLE

RATER’S ORGANIZATION / AGENCY

RATER’S TEL NO.

RATER’S E-MAIL ADDRESS:

CONTRACTOR’S NAME & ADDRESS

PROJECT TITLE OR DESCRIPTION OF

REQUIREMENT:

CONTRACT NUMBER:

CONTRACT VALUE (INCLUDING OPTIONS):

CONTRACT TYPE:

FIXED PRICE COST + FEE

COMPETITIVE NON-COMPETITIVE

SET-ASIDE

SEALED BID NEGOTIATED

CONTRACT AWARD & COMPLETION DATE:

PAST PERFORMANCE ELEMENT

RATING

1 2 3 4 5 6 NA

1. Contractor was able to manage project cost (minimize change orders)

2. Contractor was able to maintain project schedule (completed on time or early)

3. Contractor adhered to all safety standards and/or requirements

4. Contractor was efficient in project coordination and scheduling of different trades

5. Contractor utilized problem solving skills effectively when problems arose during the project

6. Closeout Process (Did contractor submit as-builts, warranties, etc., promptly?)

7. Contractor was able to follow specifications, regulations, and requirements (building codes, customer specific policy, etc.)

8. Overall customer satisfaction

Comments or additional information:

FOR OFFICIAL USE ONLY - SOURCE SELECTION SENSITIVE WHEN COMPLETED