RFP 6300 AttD - REFERENCE CHECK FORM.docx

This file is a Reference Check Form (Attachment D) used by the Oregon Health Authority for evaluating proposers responding to RFP 6300 for Commercial Tobacco Prevention and Cessation Communications Strategy and Services. The form is designed to be completed by reference entities to assess proposer qualifications and past performance. The questionnaire requests information about services provided, the proposer's engagement with diverse communities, customer service quality, business relationship satisfaction, and problem resolution methods. References are asked to evaluate proposer performance across multiple dimensions including timeline adherence, budget management, and likelihood of future service engagement.

The form includes sections requesting references to identify specific aspects of the proposer's services with which they were most and least satisfied. References must provide contact information including the reference entity name, contact person, telephone number, and email address. This standardized evaluation tool was established November 19, 2014, and serves as part of the broader RFP process administered by Oregon Health Authority's Public Health Division to select a qualified contractor for tobacco prevention and cessation communications services, including management of the Smokefree Oregon social-marketing brand and culturally specific campaigns.