HSHQDC-15-R-00148_ATT_2_PPQ.docx

Department of Homeland Security (DHS), Office of Procurement Operations (OPO) Draft Ver1

Please complete the following questionnaire and return it to the attention of the individuals named below, no later than August 24, 2015, 10:00 AM Eastern:

This survey pertains to: __________________________________________________________ Department/Component: _________________________________________________________ Solicitation Number: ____________________________________________________________ Date of Survey: ________________________________________________________________ Name of Person Completing Survey: _______________________________________________ Signature of Person Completing Survey: _____________________________________________ Your Company/Agency: _________________________________________________________ Your Role in this Contract: _______________________________________________________ Survey Period of Performance: ____________________________________________________ General description of products/services required under the contract: ______________________

CONTRACTOR PERFORMANCE CUSTOMER SURVEY QUESTIONNAIRE

RATINGS

Please answer each of the following questions with a rating that is based on objective measurable performance indicators to the maximum extent possible.

Assign each area a rating of 4 (Outstanding), 3 (Good), 2 (Acceptable), or 1 (Unsatisfactory). Use the attached Rating Guidelines as guidance in making these evaluations. Circle the appropriate rating. Annotate with N/A if not a rating consideration or inapplicable to the performance of the contract.

QUALITY OF PRODUCT OR SERVICE

TIMELINESS OF PERFORMANCE

1. Reliability:

1 2 3 4 N/A

2. Responsive to technical direction:

1 2 3 4 N/A

3. Meets contract delivery schedules and/or task deadlines:

1 2 3 4 N/A

BUSINESS RELATIONS

1. Effective management, including subcontracts:

1 2 3 4 N/A

2. Reasonable/cooperative behavior:

1 2 3 4 N/A

3. Responsive to contract requirements:

1 2 3 4 N/A

4. Notification of problems:

1 2 3 4 N/A

5. Flexibility:

1 2 3 4 N/A

6. Pro-active vs. reactive:

1 2 3 4 N/A

COST CONTROL

3. Cost efficiencies:

1 2 3 4 N/A

CUSTOMER SATISFACTION

1. Contractor Management Personnel are committed to customer satisfaction:

Yes No (circle one)

2. Contractor Onsite Facility Personnel are committed to customer satisfaction:

Yes No (circle one)

ADDITIONAL COMMENTS:

DHS RFP No. HSHQDC-15-R-00148 Attachment 2: Past Performance Questionnaire

Rating Guidelines