HSHQDC-16-R-00086_-_Attachment_J.2_-_Past_Performance_Contractor_Performance_Customer_Survey_Questionnaire.doc

HSHQDC-16-R-00086

Attachment J.2

PAST PERFORMANCE INFORMATION

CONTRACTOR PERFORMANCE CUSTOMER SURVEY QUESTIONNAIRE

Please complete the following questionnaire and return it to the attention of the Contracting Officer: wanda.moorman@hq.dhs.gov by October 27, 2016 at 9:00 AM, Eastern Time.

Name

Title

Address

Telephone Number/Fax Number

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: ______________________

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 either 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 contract effort.

QUALITY OF PRODUCT OR SERVICE:

1. Compliance with contract requirements:

N/A

2. Accuracy of reports:

N/A

3. Level of knowledge, experience, and training of personnel:

N/A

4. Capability of personnel to perform required services:

N/A

5. Effectiveness of personnel in performing required services:

N/A

6. Overall quality of product/service:

N/A

7.

Product performance:

N/A

8.

Spare parts availability:

N/A

9.

Ease of use:

N/A

10.

Quality and timeliness of warranty work:

N/A

TIMELINESS OF PERFORMANCE:

1. Reliability:

N/A

2. Responsive to technical direction:

N/A

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

N/A

BUSINESS RELATIONS:

1. Effective management, including subcontracts:

N/A

2. Reasonable/cooperative behavior:

N/A

3. Responsive to contract requirements:

N/A

4. Notification of problems:

N/A

5. Flexibility:

N/A

6. Pro-active vs. reactive:

N/A

COST CONTROL:

1. Current, accurate and complete billings:

N/A

2.

Relationship of negotiated costs to actuals:

N/A

3. Cost efficiencies:

N/A

CUSTOMER SATISFACTION:

1.

The contractor is committed to customer satisfaction:

a. Contractor Management Personnel

(circle one) Yes No

b. Contractor Onsite Facility Personnel

(circle one) Yes No

ADDITIONAL COMMENTS:

Rating Guidelines