VA Form 10163 CFM Supplier Satisfaction Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCA, VBA, VHA)

Supplier Satisfaction Survey 4-11

CFM Supplier Electronic Comment Card / CFM Supplier Satisfaction Survey

OMB: 2900-0770

Document [pdf]
Download: pdf | pdf
OMB 2900-0770
Estimated Burden: 8 minutes
Expiration Date: XX-XX-XXXX

 
Department of Veterans Affairs
Office of Construction and Facilities Management (CFM) - Supplier Satisfaction Survey

The Paperwork Reduction Act of 1995 requires us to notify you that this information collection is in accordance with the 
clearance requirements of section 3507 of the Paperwork Reduction Act of 1995. The public reporting burden for this 
collection of information is estimated to average 8 minutes per response, including the time for reviewing instructions, 
and completing and reviewing the collection of information. No person shall be subject to any penalty for failing to 
comply with a collection of information if it does not display a currently valid OMB control number. Customer satisfaction 
surveys are used to gauge customer perceptions of VA services as well as customer expectations and desires. The 
results of this survey will lead to improvements in the quality of service delivery by helping to shape the direction and 
focus of specific, programs and services. Submission of this form is voluntary and failure to respond will have no impact 
on benefits to which you may be entitled. 
 
 

 

VA Form 10163

Welcome!

 

Thank you for accessing the VA Office of Construction and Facilities Management (CFM) Supplier Satisfaction Survey. 
Through this survey, you will be asked to provide feedback on the CFM acquisition and project support you have received. 
The feedback that you provide through this survey will help CFM identify opportunities to improve the level and quality of 
acquisition support that it provides to suppliers. 

 

VA Form 10163

Instructions

 

This survey is divided into two sections. Section 1 asks you to provide feedback specific to the project referenced in the 
survey invitation email (the email containing the link you used to access this survey). In Section 1, please provide your 
ratings and comments with only that project in mind. 
 
In Section 2, you will have the opportunity to provide more general feedback on CFM. In this section, please provide 
ratings based on your overall assessment of CFM. 
 
This survey should take you less than 10 minutes to complete. Should you need to exit the survey before completing it, 
click the "Save" button at the top right hand corner of the page. Your may return to the survey later to pick up after the 
last page you completed. 
 
Should you have any questions, please contact [email protected]. 
 
To get started, click the Next button below! 

 

VA Form 10163

Section 1: Project Satisfaction Ratings (Pre­Solicitation Phase Support)

 

On this page, you will be asked to rate CFM Pre­Solicitation Phase support you have received for this project. Pre­
Solicitation refers to all activities and interactions that occurred prior to the project being released as a request for 
proposal (RFP) or a request for quote (RFQ).  

1. Please rate your satisfaction with the following aspects of CFM Pre­Solicitation Phase
support that you received for this project.
1 
(Strongly 

10 
2

3

4

5

6

7

8

9

(Strongly 

Disagree)
CFM personnel were 

Agree)

Can't 
Answer

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accessible
CFM personnel were 
responsive
CFM acquisition information 
provided via the CFM website 
was useful
CFM acquisition information 
provided via CFM industry 
forums was useful
CFM acquisition information 
provided via in­person 
meetings with CFM personnel 
was useful

 

VA Form 10163

Section 1: Project Satisfaction Ratings (Solicitation Phase Support)

 

On this page, you will be asked to rate CFM Solicitation Phase support you have received for this project. Solicitation 
refers to all activities and interactions that occurred subsequent to the project being released as a request for proposal 
(RFP) or a request for quote (RFQ), but before the project was awarded. 

*2. Please rate your level of agreement with the following statements pertaining to the

CFM Solicitation Phase support that you received for this project.
1 
(Strongly 

10 
2

3

4

5

6

7

8

9

Disagree)
CFM solicitation documents 

(Strongly 
Agree)

Can't 
Answer

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were clear
CFM solicitation documents 
were comprehensive
CFM solicitation documents 
contained accurate technical 
requirements
CFM solicitation documents 
contained consistent 
technical requirements
CFM solicitation documents 
contained clear technical 
requirements
CFM solicitation documents 
contained comprehensive 
technical requirements
CFM provided sufficient time 
for my company to respond to 
the solicitation request
CFM contracting personnel 
were accessible when I 
needed to reach them
CFM contracting personnel 
responded to my questions in 
a timely manner
CFM subcontracting 
requirements were clear and 
reasonable

 

VA Form 10163

Section 1: Project Satisfaction Ratings (Award and Post­Award)

 

On this page, you will be asked to rate CFM Award and Post­Award Phase support you have received for this project. 
Award Phase refers to activities related to the award of the contract for the project. Post­Award Phase activities entail all 
activities subsequent to contract award. 

*3. Please rate your level of agreement with the following statements pertaining to the

CFM Award and Post­Award Phase support that you received for this project.
1 
(Strongly 

10 
2

3

4

5

6

7

8

9

Disagree)
The CFM contract award 

(Strongly 
Agree)

Can't 
Answer

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notification was provided in a 
timely manner
CFM provided my company 
with sufficient time to prepare 
for the contract kickoff 
meeting
CFM effectively 
communicated the key roles 
and responsibilities of 
government personnel 
involved in the project
CFM has paid invoices in a 
timely manner
Contract modifications have 
been processed in a timely 
manner
Contract modifications have 
been processed accurately
CFM has reviewed the project 
schedule regularly
CFM has been effective in 
identifying project quality 
issues
CFM has been effective at 
developing schedule 
recovery plans

 

VA Form 10163

Section 2 ­ General Supplier Ratings

 

Congratulations on completing Section 1. In Section 2, you will be asked to continue rating your satisfaction with CFM. 
However, in this section, please think generally about your interaction with CFM for all projects you have been involved 
with over the past year. Click the Next button below to begin Section 2. 

 

VA Form 10163

Section 2: General Ratings (Supplier Perception)

 

*4. Please rate your level of agreement with the following general statements about the

CFM acquisition process.
1 
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10 
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3

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9

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CFM shows genuine concern 

(Strongly 
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Can't 
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for my business
I would like to continue to do 
business with CFM
I would like to increase the 
amount of business I do with 
CFM
The CFM acquisition process 
is easier to navigate 
compared with other federal 
government agencies I have 
done business with
CFM typically utilizes the 
appropriate solicitation 
strategy for its projects.
CFM's constructability reviews 
for construction projects 
provide me with useful 
information.
CFM's industry days provide 
me with useful information.

5. Please consider the CFM RFPs you have reviewed, but decided not to respond to.
Describe the factors that typically contribute to your decision not to respond to a CFM
RFP in the space below.
5

6  

 
VA Form 10163

Section 2: General Ratings (Supplier Overall Satisfaction)

 

*6. Please rate your overall satisfaction with the CFM acquisition process on a scale of 1

= Extremely Dissatisfied to 5 = Extremely Satisfied.
6  

7. Please consider the entirety of the CFM acquisition lifecycle ­ from Pre­Solicitation to
Post­Award. In the section below, please describe the things you feel CFM DOES WELL.
You may respond by solicitation phase or in general.
5

6  

8. Please consider the entirety of the CFM acquisition lifecycle ­ from Pre­Solicitation to
Post­Award. In the section below, please describe the things you feel CFM DOES NOT DO
WELL. You may respond by solicitation phase or in general.
5

6  

VA Form 10163

 

Supplier Demographics ­ Tell Us About You

 

9. Approximately what percent of your annual revenue comes from CFM contracts?
j Less than 5%
k
l
m
n
j 5 to 10%
k
l
m
n

 

 

j 10 to 25%
k
l
m
n
j 25 to 50%
k
l
m
n
j 50 to 75%
k
l
m
n

 
 
 

j Greater than 75%
k
l
m
n

 

j Prefer not to answer
k
l
m
n

 

10. How many years have you done business with CFM?
j Less than 1 year
k
l
m
n
j 1 to 3 years
k
l
m
n
j 3 to 5 years
k
l
m
n

 

 
 

j 5 to 10 years
k
l
m
n

 

j More than 10 years
k
l
m
n

 

11. In what geographic regions does your company operate?
c Midwest
d
e
f
g

 

c Northeast
d
e
f
g

 

c Southeast
d
e
f
g

 

c Southwest
d
e
f
g
c West
d
e
f
g

 

 

c Nationwide
d
e
f
g

 

12. Would you like for someone from CFM to follow up with you on your survey
responses?
 

j Yes
k
l
m
n
j No
k
l
m
n

 

VA Form 10163


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