Customer Assessment of ECBC Quality and Performance Survey

1. Contact Information

Contact Information Name:
Company:
Address:
Address 2:
City/Town:
State:
ZIP:
Email Address:
Phone Number:

2. ECBC Point of Contact

ECBC Point of Contact

3. Period of Performance

Period of Performance

4. Description of Product or Service Received:

Description of Product or Service Received:

5. Can this information be shared with your ECBC POC?

Can this information be shared with your ECBC POC? Yes

No

6. Would you like to be contacted?

Would you like to be contacted? Yes

No

7. For each element, please rate the following by level of importance to you

	Not important			Neutral			Very important	No Answer
Quality of Work performed	*For each element, please rate the following by level of importance to you Quality of Work performed Not important	Quality of Work performed	Quality of Work performed	Quality of Work performed Neutral	Quality of Work performed	Quality of Work performed	Quality of Work performed Very important	Quality of Work performed No Answer
Comments
Staff/Resource Availability	Staff/Resource Availability Not important	Staff/Resource Availability	Staff/Resource Availability	Staff/Resource Availability Neutral	Staff/Resource Availability	Staff/Resource Availability	Staff/Resource Availability Very important	Staff/Resource Availability No Answer
Comments
Communication/Response to Needs	Communication/Response to Needs Not important	Communication/Response to Needs	Communication/Response to Needs	Communication/Response to Needs Neutral	Communication/Response to Needs	Communication/Response to Needs	Communication/Response to Needs Very important	Communication/Response to Needs No Answer
Comments
Problem Solving Approach	Problem Solving Approach Not important	Problem Solving Approach	Problem Solving Approach	Problem Solving Approach Neutral	Problem Solving Approach	Problem Solving Approach	Problem Solving Approach Very important	Problem Solving Approach No Answer
Comments
Deliverable Timeliness	Deliverable Timeliness Not important	Deliverable Timeliness	Deliverable Timeliness	Deliverable Timeliness Neutral	Deliverable Timeliness	Deliverable Timeliness	Deliverable Timeliness Very important	Deliverable Timeliness No Answer
Comments
Product/Service Met Requirements	Product/Service Met Requirements Not important	Product/Service Met Requirements	Product/Service Met Requirements	Product/Service Met Requirements Neutral	Product/Service Met Requirements	Product/Service Met Requirements	Product/Service Met Requirements Very important	Product/Service Met Requirements No Answer
Comments
Cost Effectiveness/Value	Cost Effectiveness/Value Not important	Cost Effectiveness/Value	Cost Effectiveness/Value	Cost Effectiveness/Value Neutral	Cost Effectiveness/Value	Cost Effectiveness/Value	Cost Effectiveness/Value Very important	Cost Effectiveness/Value No Answer
Comments
Project Management	Project Management Not important	Project Management	Project Management	Project Management Neutral	Project Management	Project Management	Project Management Very important	Project Management No Answer
Comments
Overall Performance	Overall Performance Not important	Overall Performance	Overall Performance	Overall Performance Neutral	Overall Performance	Overall Performance	Overall Performance Very important	Overall Performance No Answer
Comments

8. For each element, please rate the level of performance.

	Poor Performance			Neutral			Good Performance
Quality of Work performed	*For each element, please rate the level of performance. Quality of Work performed Poor Performance	Quality of Work performed	Quality of Work performed	Quality of Work performed Neutral	Quality of Work performed	Quality of Work performed	Quality of Work performed Good Performance
Comments
Staff/Resource Availability	Staff/Resource Availability Poor Performance	Staff/Resource Availability	Staff/Resource Availability	Staff/Resource Availability Neutral	Staff/Resource Availability	Staff/Resource Availability	Staff/Resource Availability Good Performance
Comments
Communication/Response to Needs	Communication/Response to Needs Poor Performance	Communication/Response to Needs	Communication/Response to Needs	Communication/Response to Needs Neutral	Communication/Response to Needs	Communication/Response to Needs	Communication/Response to Needs Good Performance
Comments
Problem Solving Approach	Problem Solving Approach Poor Performance	Problem Solving Approach	Problem Solving Approach	Problem Solving Approach Neutral	Problem Solving Approach	Problem Solving Approach	Problem Solving Approach Good Performance
Comments
Deliverable Timeliness	Deliverable Timeliness Poor Performance	Deliverable Timeliness	Deliverable Timeliness	Deliverable Timeliness Neutral	Deliverable Timeliness	Deliverable Timeliness	Deliverable Timeliness Good Performance
Comments
Product/Service Met Requirements	Product/Service Met Requirements Poor Performance	Product/Service Met Requirements	Product/Service Met Requirements	Product/Service Met Requirements Neutral	Product/Service Met Requirements	Product/Service Met Requirements	Product/Service Met Requirements Good Performance
Comments
Cost Effectiveness/Value	Cost Effectiveness/Value Poor Performance	Cost Effectiveness/Value	Cost Effectiveness/Value	Cost Effectiveness/Value Neutral	Cost Effectiveness/Value	Cost Effectiveness/Value	Cost Effectiveness/Value Good Performance
Comments
Project Management	Project Management Poor Performance	Project Management	Project Management	Project Management Neutral	Project Management	Project Management	Project Management Good Performance
Comments
Overall Performance	Overall Performance Poor Performance	Overall Performance	Overall Performance	Overall Performance Neutral	Overall Performance	Overall Performance	Overall Performance Good Performance
Comments

9. What interactions were particularly noteworthy (positive or negative)?

What interactions were particularly noteworthy (positive or negative)?

10. Is there any attribute of performance that could have been improved?

Is there any attribute of performance that could have been improved?