FD-1000 Customer Satisfaction Assessment

OMB1110-0045
Exp.

FD-1000 (Rev. 10-2-2017)

Customer Satisfaction Assessment

FBI Laboratory
Lab #:
Case ID #:
Performed by:
Discipline:
Paperwork Reduction Act Notice

The information required on this form is in accordance with the Paper Reduction Act of 1995. The estimated average burden associated with this collection of information is 5
minutes. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to Federal Bureau of Investigation, Laboratory
Division, 2501 Investigation Parkway, Quantico, VA 22135.
Date Received

By

Entered in Assessment Database

Customer Information
Below is a list of customers associated with this request. Please indicate that you are the customer responding by adding an "X"
in the field in front of your name. If your name does not appear below, please replace an existing customer with your contact
information. Please fill in any missing fields for your information as well.
Responding

Customer Name

Phone Number

Email Address

Survey Instructions

Thank you for using the services of the FBI Laboratory. In an effort to improve our services, please respond to the
following questions about the services provided by the above listed employee. To add additional comments, please
use the section at the end of the survey. Upon completion, please save your survey and fax a hard copy back to the
Forensic Analysis Support Unit (Fax:703-632-8285; Email: [email protected]).
For TEDAC service, email your survey to: [email protected] or
SIPR email: [email protected].
Questions
A. Communication between my agency and the above listed Laboratory employee was sufficient to deliver the services:
Yes
No
B. The services were delivered in a time frame that met my expectations:
Yes
No
C. The clarity, format, and/or content of the Laboratory report met my expectations:
Yes
No
D. Please rate the overall quality of the service received associated with the services provided:
Satisfactory
Outstanding
Unsatisfactory
Additional Comments
Please use the space below for any comments regarding the services provided or additional feedback about service improvement
or additional services that could be offered. Additional pages can be added as needed.