Corps of Engineers Civil Works Questionnaires Generic Clearance

Quarterly Customer Survey

(Personal Interview)

OMB 0710-0001

Expires: 30 September 2012

The public report burden this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this data collection, including suggestions for reducing this burden, to Department of Defense, Washington Headquarters Services, Executive Services Directorate, Information Management Division, and the Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, D.C. 20503, Attn.: Desk Officer for U.S. Army Corps of Engineers. Respondents should be aware that notwithstanding any other provision of law, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Please DO NOT RETURN your completed form to either of these offices.

Quarterly Customer Survey

So that we may provide you with better service, we’d like to know…

H O W A R E W E D O I N G ?

Using the following scale, how would you rate ______ Engineer District? (circle one)

		Very Dissatisfied	Dissatisfied	Neither Satisfied nor Dissatisfied	Satisfied	Very Satisfied
1.	Manages your projects/programs effectively. Comments: __________________________________	1	2	3	4	5
2.	Keeps you informed. Comments: __________________________________	1	2	3	4	5
3.	Treats you as an important member of the team. Comments: __________________________________	1	2	3	4	5
4.	Solicits, listens to and resolves your concerns. Comments: __________________________________	1	2	3	4	5
5.	Supplies timely service and products. Comments: __________________________________	1	2	3	4	5
6.	Delivers quality products and services. Comments: __________________________________	1	2	3	4	5
7.	Is flexible in responding to your needs. Comments: __________________________________	1	2	3	4	5
8.	Provides best value products and services. Comments: __________________________________	1	2	3	4	5
9.	Seeks your requirements, priorities and expectations. Comments: __________________________________	1	2	3	4	5
10.	Incorporates your suggestions to improve. Comments: __________________________________	1	2	3	4	5
11.	Responds to your inquiries within one day. Comments: __________________________________	1	2	3	4	5
12.	Would be your choice for future products and service. Comments: __________________________________	1	2	3	4	5

What did you like about our products and services in the past 3 months? ________________

How can we improve our products and services in the next 3 months? ___________________

PROJECT TITLE: _______________________________________ PROJECT LOCATION: _________________

(IF APPLICABLE TO THIS SURVEY)

YOUR ORGANIZATION: _______________________________________________

DATE: ____/____/____