Past_Performance_Questionnaire_HDEC05-18-Q-0022.pdf

PAST PERFORMANCE QUESTIONNAIRE

PART I: Background Information Name of Contractor/Firm (Subject of the Questionnaire)

Contract/Purchase Order Number

Timeframe that this Questionnaire covers

Evaluator Name

Evaluator Title

Organization and Phone Number

PART II: Past Performance Ratings

Quality of Service

1. How was the overall quality of the service provided? Acceptable Not Acceptable

2. How was the contractor’s overall compliance with the terms and conditions of your agreement/contract?

Acceptable

Comments:

Timeliness/Schedule

1. Rate the contractor’s timeliness in responding to calls/requests. Acceptable

2. Rate the contractor’s effectiveness in adhering to any performance schedules. Acceptable

Business Relations

1. Rate the contractor’s effectiveness in establishing and maintaining a positive working relationship with your company (customer service).

Acceptable Not Acceptable

2. Rate the contractor’s response in correcting any concerns, issues, or problems that appeared during the performance of the requirement (problem resolution efforts).

Management of Key Personnel

1. Rate the contractor’s effectiveness in establishing and maintaining a positive working relationship with your company (customer service).

Acceptable Not Acceptable

2. Rate the contractor’s response in correcting any concerns, issues, or problems that appeared during the performance of the requirement (problem resolution efforts).

Overall Performance

1. Were you satisfied with the overall performance of the Contractor? YES NO

2. If given a choice, would you consider the contractor for this service again? If no, please explain why.

YES NO

3. Please provide any additional comments you feel would be pertinent regarding the past performance of this company:

Thank you for taking the time to complete this questionnaire. Please return the completed questionnaire to Daniel Schroeder via email at Daniel.Schroeder@deca.mil. Any questions regarding this form may be directed to Daniel Schroeder at (804) 734-8000 ext. 86454.

EVALUATOR NAME:______________________________TITLE:____________________________________

OFFICE/DIVISION:__________________________________TELEPHONE NUMBER:___________________

Business Relations