RFP [] – [RFP TITLE] ATT D ATTACHMENT D

9 SPECIALISED PROCEDURES 9141 CONSENT FORM 1 [TITLE]
CASE TITLE [WELL NOTIFICATION TITLE] REFERENCE NUMBER
CLINICAL STUDY REPORT [STUDY TITLE] [STUDY NUMBER] [DD MONTH

DRAFT RECOMMENDATION FOR SPACE DATA SYSTEM PRACTICES [DOCUMENT TITLE]
FORM 17 SUMMONS FOR EXAMINATION (RULE 113) [TITLE] A
FORM 2 ORIGINATING PROCESS (RULES 22 AND 15A3) [TITLE]

RFP template Att D - reference check

RFP [###-####-##] – [RFP title] Att D

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.

  1. How would you rate the Proposer’s overall quality of services provided and your overall relationship with the Proposer?

Score: __________

Comments: ______________________________________________________________________________

  1. How would you rate the Proposer’s delivery of service?

Score: __________

Comments: ______________________________________________________________________________

  1. 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?

  2. Describe the services listed in response to question 1.

  3. Describe Proposer’s customer service.

  4. Describe your satisfaction with the business relationship with Proposer.

  5. Describe Proposer’s methods for problem resolution.

  6. How likely would you be to use Proposer’s services again?

  7. With which aspect(s) of Proposer’s services are you the most satisfied?

  8. With which aspect(s) of Proposer’s services are you the least satisfied?

  9. How well did Proposer stay within the proposed timeline?

  10. How did the final project cost compare to the initial proposed cost?

DAS Procurement Services, Version 2.0 – December 9, 2016 Page 2 of 2


FORM 4 NOTICE OF APPEARANCE (RULE 29) [TITLE] A
INFORMATION SHARING AGREEMENT TITLE REFERENCE INFORMATION SHARING AGREEMENT [TITLE]
NAME PAGE 0 DATE DATE [COURTESY TITLE] [FIRST NAME]


Tags: attachment d, attachment, title]