+-------------------------------+---+--------------------------------+---+-----+
| Q1. Contract Number/Title:    |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q2. What type of              |   |                                |   |     |
| product(s)/services were      |   |                                |   |     |
| provided under the contract?  |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q3. Contract Type (i.e., FFP, |   |                                |   |     |
| IDIQ, Time and Materials,     |   |                                |   |     |
| Requirements, BPA, etc.):     |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q4. Was the contractor the    |   |                                |   |     |
| Prime or Subcontractor?       |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q5. Period of Performance     |   |                                |   |     |
| (contract start date and end  |   |                                |   |     |
| date, Including all options): |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q6. Contract Value (Including |   |                                |   |     |
| base year and all options)    |   |                                |   |     |
| (If BPA, please indicate the  |   |                                |   |     |
| total \$ value of products    |   |                                |   |     |
| provided by the contractor):  |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q7. What size is the          |   |                                |   |     |
| environment supported by the  |   |                                |   |     |
| contractor? (# of buildings,  |   |                                |   |     |
| \# of people):                |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| **RATINGS: Please circle in   |   |                                |   |     |
| the "Rating" column below,    |   |                                |   |     |
| the number that corresponds   |   |                                |   |     |
| to the performance rating for |   |                                |   |     |
| each question. Also please    |   |                                |   |     |
| provide comments and/or       |   |                                |   |     |
| summarize the contractor\'s   |   |                                |   |     |
| performance in the "Comments" |   |                                |   |     |
| box for each question.**      |   |                                |   |     |
|                               |   |                                |   |     |
| **RATING SCALE:**             |   |                                |   |     |
|                               |   |                                |   |     |
| **0 = Unsatisfactory 1 =      |   |                                |   |     |
| Average 2 = Above Average 3 = |   |                                |   |     |
| Excellent**                   |   |                                |   |     |
|                               |   |                                |   |     |
| **RATING**                    |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q8. How would you rate the    |   | Comments:                      |   | 0   |
| business relationship with    |   |                                |   |     |
| the contractor?               |   |                                |   | 1   |
|                               |   |                                |   |     |
| (Was contractor responsive to |   |                                |   | 2   |
| customer needs and            |   |                                |   |     |
| requirement? Committed to     |   |                                |   | 3   |
| customer satisfaction? Did    |   |                                |   |     |
| they interface well with the  |   |                                |   |     |
| customer?)                    |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q9. How would you rate the    |   | Comments:                      |   | 0   |
| contractor's delivery order   |   |                                |   |     |
| management?                   |   |                                |   | 1   |
|                               |   |                                |   |     |
| (Did the contractor meet      |   |                                |   | 2   |
| interim milestones? Were they |   |                                |   |     |
| reliable? Were they           |   |                                |   | 3   |
| responsive to technical       |   |                                |   |     |
| direction? Did they meet all  |   |                                |   |     |
| delivery schedules on time?)  |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q10. How would you rate the   |   | Comments:                      |   | 0   |
| contractor's work with        |   |                                |   |     |
| project/contracting officers? |   |                                |   | 1   |
|                               |   |                                |   |     |
| (Did they provide prompt      |   |                                |   | 2   |
| notification of problems?     |   |                                |   |     |
| Recommend solutions? Were     |   |                                |   | 3   |
| they reasonable, cooperative, |   |                                |   |     |
| flexible, and pro-active?     |   |                                |   |     |
| Were they responsive to       |   |                                |   |     |
| contract requirements?)       |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q11. How would you rate the   |   | Comments:                      |   | 0   |
| contractor\'s commitment to   |   |                                |   |     |
| customer satisfaction?        |   |                                |   | 1   |
|                               |   |                                |   |     |
| (How well did the contractor  |   |                                |   | 2   |
| respond in order to provide   |   |                                |   |     |
| required products/services?)  |   |                                |   | 3   |
+-------------------------------+---+--------------------------------+---+-----+
| Q12. How would you rate the   | C |                                | 0 |     |
| contractor\'s key personnel?  | o |                                |   |     |
|                               | m |                                | 1 |     |
| (How long did key personnel   | m |                                |   |     |
| stay on contract? Was there a | e |                                | 2 |     |
| high employee turnover rate?  | n |                                |   |     |
| Did they effectively manage   | t |                                | 3 |     |
| the contract?)                | s |                                |   |     |
|                               | : |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q13. How would you rate the   | C |                                | 0 |     |
| effectiveness of the          | o |                                |   |     |
| contractor's warranty plan?   | m |                                | 1 |     |
|                               | m |                                |   |     |
| (Was a warranty program in    | e |                                | 2 |     |
| place that satisfied          | n |                                |   |     |
| customer's needs? Was a       | t |                                | 3 |     |
| Dead-on-Arrival (DOA) policy  | s |                                |   |     |
| offered and upheld? Was a     | : |                                |   |     |
| lemon policy offered and      |   |                                |   |     |
| upheld? Was a Returned        |   |                                |   |     |
| Materials Authorization (RMA) |   |                                |   |     |
| process in place that was     |   |                                |   |     |
| efficient and easy to use?)   |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q14. How would you rate the   | C |                                | 0 |     |
| contractor's technical        | o |                                |   |     |
| expertise?                    | m |                                | 1 |     |
|                               | m |                                |   |     |
| (Did the contractor provide   | e |                                | 2 |     |
| an ordering website and was   | n |                                |   |     |
| it user-friendly? Did the     | t |                                | 3 |     |
| contractor do a good job of   | s |                                |   |     |
| integrating products into the | : |                                |   |     |
| customer's environment        |   |                                |   |     |
| (technology                   |   |                                |   |     |
| infusion/upgrades)? Did they  |   |                                |   |     |
| have a sound knowledge of     |   |                                |   |     |
| market and technology         |   |                                |   |     |
| developments?)                |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q15. How would you rate the   | C |                                | 0 |     |
| contractor's reporting        | o |                                |   |     |
| process?                      | m |                                | 1 |     |
|                               | m |                                |   |     |
| (Were all required reports    | e |                                | 2 |     |
| submitted in a timely         | n |                                |   |     |
| fashion? Did the reports      | t |                                | 3 |     |
| contain accurate              | s |                                |   |     |
| information?)                 | : |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q16. Overall, how would you   | C |                                | 0 |     |
| rate the contractor\'s        | o |                                |   |     |
| quality of products/services? | m |                                | 1 |     |
|                               | m |                                |   |     |
| (i..e., compliance with       | e |                                | 2 |     |
| contract requirements -- mgmt | n |                                |   |     |
| responsiveness -- timeliness  | t |                                | 3 |     |
| of delivery -- business       | s |                                |   |     |
| relationship -- quality and   | : |                                |   |     |
| timeliness of warranty        |   |                                |   |     |
| service)                      |   |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q17. Based on your experience | a |                                |   |     |
| with this contractor, do you  | \ |                                |   |     |
| think they can be relied upon | . |                                |   |     |
| to deliver quality            | Y |                                |   |     |
| products/services by a        | e |                                |   |     |
| specific delivery date?       | s |                                |   |     |
|                               |   |                                |   |     |
|                               | b |                                |   |     |
|                               | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | N |                                |   |     |
|                               | o |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q18. How cooperative was the  | a |                                |   |     |
| contractor when               | \ |                                |   |     |
| contractual/technical         | . |                                |   |     |
| problems were encountered     | H |                                |   |     |
| during the performance of the | i |                                |   |     |
| contract?                     | g |                                |   |     |
|                               | h |                                |   |     |
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+-------------------------------+---+--------------------------------+---+-----+
| Q19. How frequently did you   | a |                                |   |     |
| have to direct the contractor | \ |                                |   |     |
| to re-perform the service     | . |                                |   |     |
| because it had been performed | N |                                |   |     |
| unsatisfactorily the first    | o |                                |   |     |
| time?                         | n |                                |   |     |
|                               | e |                                |   |     |
|                               |   |                                |   |     |
|                               | b |                                |   |     |
|                               | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | O |                                |   |     |
|                               | c |                                |   |     |
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|                               | n |                                |   |     |
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|                               | \ |                                |   |     |
|                               | . |                                |   |     |
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|                               | l |                                |   |     |
|                               | w |                                |   |     |
|                               | a |                                |   |     |
|                               | y |                                |   |     |
|                               | s |                                |   |     |
|                               | , |                                |   |     |
|                               | o |                                |   |     |
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|                               | m |                                |   |     |
|                               | o |                                |   |     |
|                               | s |                                |   |     |
|                               | t |                                |   |     |
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|                               | w |                                |   |     |
|                               | a |                                |   |     |
|                               | y |                                |   |     |
|                               | s |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q20. Did the Contractor       | a |                                |   |     |
| receive any special awards or | . |                                |   |     |
| recognition for performance   |   |                                |   |     |
| on this contract?             |   |                                |   |     |
|                               | Y |                                |   |     |
|                               | e |                                |   |     |
|                               | s |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               | ( |                                |   |     |
|                               | I |                                |   |     |
|                               | f |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               | y |                                |   |     |
|                               | e |                                |   |     |
|                               | s |                                |   |     |
|                               | , |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               | p |                                |   |     |
|                               | l |                                |   |     |
|                               | e |                                |   |     |
|                               | a |                                |   |     |
|                               | s |                                |   |     |
|                               | e |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               |   |                                |   |     |
|                               | d |                                |   |     |
|                               | e |                                |   |     |
|                               | s |                                |   |     |
|                               | c |                                |   |     |
|                               | r |                                |   |     |
|                               | i |                                |   |     |
|                               | b |                                |   |     |
|                               | e |                                |   |     |
|                               | ) |                                |   |     |
|                               |   |                                |   |     |
|                               | b |                                |   |     |
|                               | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | N |                                |   |     |
|                               | o |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q21. Were there any           | a |                                |   |     |
| terminations for default or   | \ |                                |   |     |
| convenience under the         | . |                                |   |     |
| contract?                     | Y |                                |   |     |
|                               | e |                                |   |     |
|                               | s |                                |   |     |
|                               |   |                                |   |     |
|                               | b |                                |   |     |
|                               | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | N |                                |   |     |
|                               | o |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q22. Would you hire this      | a |                                |   |     |
| contractor again?             | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | Y |                                |   |     |
|                               | e |                                |   |     |
|                               | s |                                |   |     |
|                               |   |                                |   |     |
|                               | b |                                |   |     |
|                               | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | N |                                |   |     |
|                               | o |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+
| Q23. Would you recommend this | a |                                |   |     |
| contractor to others?         | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | Y |                                |   |     |
|                               | e |                                |   |     |
|                               | s |                                |   |     |
|                               |   |                                |   |     |
|                               | b |                                |   |     |
|                               | \ |                                |   |     |
|                               | . |                                |   |     |
|                               | N |                                |   |     |
|                               | o |                                |   |     |
+-------------------------------+---+--------------------------------+---+-----+

YOUR AGENCY/COMPANY NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

TITLE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

PHONE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

EMAIL:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DATE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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Please submit your completed survey via email or facsimile to the
attention of Teresa Kelley [by Thursday, 12 July 2007]{.underline} to:

Via email to: teresa.kelley@uspto.gov

Via Rightfax to: 571-273-3262