Past Performance Survey.pdf

This is a Past Performance Survey template used by the Department of Veterans Affairs to evaluate contractor performance for contract award consideration.

The survey is designed to be completed by past clients (evaluators) who have worked with the company being evaluated. Offerors must submit a separate completed survey for each reference included with their quote submission. The survey collects evaluator contact information (name, company, address, and phone number) and requests detailed information about contracts the company previously performed, including total contract amounts, performance dates, and contract numbers. The evaluation section uses a five-point rating scale (Excellent, Good, Fair, Marginal, Unacceptable) to assess overall quality of work, with space for supporting comments. Evaluators are also asked to identify any performance issues or concerns that arose during contract performance and to describe how those issues were resolved. The document emphasizes that evaluator identities remain confidential and will not be released or made publicly available.