RFGP 5916 Attachment D.docx
DOCX document 34 KB Posted
- Solicitation number
- S-44300-00009874
- Issued by
- Oregon
About this file
This document is a reference check form for RFGP 5916, a Request for Grant Proposal issued by the Oregon Health Authority, Public Health Division for 6 Regional Coalition Convenors for the Oregon Commercial Tobacco Prevention Menthol Program. The form requests the reference to rate the proposer's overall quality of services, delivery of service, and responsiveness to customer service issues on a scale of 0-10. The reference is also asked to describe the type of services provided, the proposer's customer service, satisfaction with the business relationship, problem resolution methods, likelihood of using the services again, and comparisons of the final project cost to the initial proposed cost.
The related state and local contract opportunity is for Flavored Tobacco and Menthol Use Prevention Regional Conveners, issued by the State of Oregon through the Oregon Health Authority, Public Health Division. This Request for Grant Proposal is issued under the provisions of ORS 413.033 and OAR 137-047-0250 for 6 Regional Coalition Convenors for the Oregon Commercial Tobacco Prevention Menthol Program.
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Other files
| File | Type | Posted |
|---|---|---|
| RFGP 5916-4 QA Final.pdf | ||
| RFGP 5916 Attachment C.docx | DOCX document | |
| RFGP 5916 Attachment G.docx | DOCX document | |
| RFGP 5916-1 Final tlh.pdf | ||
| RFGP 5916 Attachment A.docx | DOCX document | |
| RFGP 5916 Attachment F~1.docx | DOCX document | |
| RFGP 5916-2 Final tlh.pdf | ||
| RFGP 5916-0 Final tlh.pdf | ||
| RFP 5916-0 tlh Attachment E Cost Proposal Form.xlsx | XLSX spreadsheet | |
| Notice of Intent to Award Letter~23.pdf | ||
| RFGP 5916 Attachment B.docx | DOCX document | |
| RFPG 5916-3 Presenttion Slides.pdf |
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Text version
RFP [###-####-##] – [RFP title]
ATTACHMENT F - REFERENCE CHECK FORM
RFGP OB # S-44300-00009874 OHA # 5916-0
ATTACHMENT D - REFERENCE CHECK FORM
| Proposer Name: | __________________________________________ |
| Reference Entity: | __________________________________________ |
| Reference Contact Name: | __________________________________________ |
| Contact Telephone Number: | __________________________________________ |
| Contact Email Address: | __________________________________________ |
[Select one option, delete the other, and edit to fit] [OPTION 1 – Reference assigns a score] Please rate the following questions on a scale of 0-10:
0 = Not satisfied 5 = Moderately satisfied 10 = Extremely satisfied.
How would you rate the Proposer’s overall quality of services provided and your overall relationship with the Proposer?
Score: __________ Comments: ______________________________________________________________________________ How would you rate the Proposer’s delivery of service?
Score: __________ Comments: ______________________________________________________________________________ How would you rate the Proposer’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?
Score: __________ Comments: ______________________________________________________________________________ [OPTION 2 – Reference answers questions. Evaluators assign score] Please respond to the following questions:
1. For what type of services did you engage Proposer?
Describe the services listed in response to question 1.
Describe Proposer’s customer service.
Describe your satisfaction with the business relationship with Proposer.
Describe Proposer’s methods for problem resolution.
How likely would you be to use Proposer’s services again?
With which aspect(s) of Proposer’s services are you the most satisfied?
With which aspect(s) of Proposer’s services are you the least satisfied?
How well did Proposer stay within the proposed timeline?
How did the final project cost compare to the initial proposed cost?
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