J-5 Customer Satisfaction Survey.pdf

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Attached to
Request for Offers: Janitorial Services at multiple facilities for Northern and Southern Regions of Alaska
Solicitation number
697DCK-26-R-00013
Issued by

About this file

This is a Customer Satisfaction Survey (CSS) form for Federal Aviation Administration (FAA) solicitation number 697DCK-26-R000013. The survey is designed to collect past performance ratings from customers of contractors who are submitting proposals in response to this FAA solicitation. The form requires identification of the company submitting the proposal, the company completing the survey, the person completing the survey, the referenced past performance contract number, types of services provided, and the annual contract cost.

The survey evaluates contractor performance across four key rating categories using a five-point scale (Excellent=5, Very Good=4, Good=3, Needs Improvement=2, Unacceptable=1): timeliness of service delivery (weekly, bi-weekly, monthly, quarterly, and annual services), responsiveness to customer needs and complaints, problem-solving capabilities and follow-up of operations management, and overall service performance satisfaction. Each rating category includes space for supporting comments. The completed survey must be submitted directly by the customer company to FAA Contracting Officer Angela.Furukawa@faa.gov by July 1, 2026. A critical requirement states that surveys received directly from the company bidding on the solicitation will not be accepted; only surveys submitted by independent third-party customers providing the ratings are acceptable.

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Customer Satisfaction Survey (CSS) Solicitation Number: 697DCK-26-R000013

Company Submitting Proposal: __________________________________________________________________________________

Name of Company Completing Survey: ___________________________________________________________________________

Name of Person Completing Survey: _____________________________________________________________________________

Past Performance Contract # Referenced for Survey: _________________________________________________________________

Types of Services Provided under Contract: ________________________________________________________________________

Annual Cost of Contract: _______________________________________________________________________________________

I hereby submit the following ratings on behalf of the company named above as they submit a proposal in accordance with the Federal Aviation Administration solicitation listed above.

Signature of Person Completing Survey: _________________________________________ Date: __________________________

Are all services (weekly, bi-weekly, monthly, quarterly, and annually) completed in a timely manner?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

How quickly does this Contractor respond to your needs, requests, or complaints?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

How would you rate the problem-solving capabilities and follow-up of this Contractor’s Operations Management?

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

Please rate your current level of satisfaction with the overall service performance provided by this Contractor.

_____Excellent (5) _____Very Good (4) _____Good (3) _____Needs Improvement (2) _____Unacceptable (1)

Comments: __________________________________________________________________________________________________

Thank you for completing this survey.

Please email the survey to the FAA Contracting Officer Angela.Furukawa@faa.gov, due July 1, 2026.

The Company providing the ratings must submit this survey directly to FAA Acquisitions.

Any survey received directly from the Company bidding on the solicitation referenced will not be accepted.

File details come from the government source that posted it. Updated .