Attachment_I_C_-_PWS_-_Customer_Feedback_Form.pdf
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- Attached to
- TCM N&S Federal contract opportunity
- Solicitation number
- W91249-17-R-0001
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PWS - Attachment IC - Customer Feedback Form
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Text version
15 Dec 15
ATTACHMENT C
CUSTOMER FEEDBACK FORM
Date/Time of Service:
Feedback Originator/Telephone
Service(s) Received/Requested:
1.) Overall, how would you rate the quality of the service(s)?
5 4 3 2 1
Exceptional Very Good Satisfactory Marginal Unsatisfactory
2.) Nature of complaint or comment:
3.) What is one thing the Contractor could do to improve your level of satisfaction?
Thank you for taking time to assist us in improving the level of service.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Remainder of form is for use by the Contractor/COR:
Date/Time Contractor Received Feedback Contract:
Contractor Determination/Explanation: Complaint Valid Complaint Not Valid
(CONTINUE ON REVERSE)
Action Taken by Contractor:
(CONTINUE ON REVERSE)
Contractor Signature: Date:
COR Determination: Complaint Valid Complaint Not Valid
Corrective Action Sat Corrective Action Unsat
COR Signature: Date:
| PROBLEM NOTIFICATION REPORT FORM |
| Thank you for taking time to assist us in improving the level of service. |
| XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX |
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