OMB Approved:
No. 3206-0236
National Personal Protective Technology Laboratory
(NPPTL)
Customer Satisfaction Survey
for Users
Public Burden Statement:
We estimate this form takes an average of 20 minutes to complete including the time for getting the needed data and reviewing both the instructions and completed form. Send comments regarding our estimate or any other aspect of this form, including suggestions for reducing completion time, to the Office of Personnel Management (OPM), Assessment Services, Steve Burnkrant (3206- 0236), 1900 E. Street N.W., Washington, DC 20415-7900. The OMB Number, 3206-0236, is currently valid. OPM may not collect this information, and you are not required to respond, unless this number is displayed.
Background Information
Which of the following best describes your affiliation (check all that apply)?
O |
Fire Department |
O |
First Receiver |
O |
First Responder |
O |
Federal/State/Local Government |
O |
Academician/Researcher |
O |
Union/Labor Representative |
O |
Safety Professional |
O |
Respirator User |
O |
Other PPE User |
O |
Other |
How long have you been dealing with NIOSH relative to functions performed by NPPTL?
O |
Less than 1 year |
O |
1-3 years |
O |
3-10 years |
O |
More than 10 years |
Have you contacted NPPTL for assistance in the past year?
O |
Yes |
O |
No |
O |
Not Sure |
Has NPPTL provided you with training or information sessions in the past year?
O |
Yes |
O |
No |
O |
Not Sure
|
Access
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Courtesy
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Knowledge
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
|
|
|
|
|
|
The NPPTL personnel are knowledgeable about: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Timeliness
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
NPPTL personnel provide timely service when dealing with inquiries on the following: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Reliability
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Choice
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Tangibles
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Recovery
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Quality
|
Very Poor |
Poor |
Fair |
Good |
Very Good |
No Basis to Judge |
How would you rate the quality of service related to the following inquiries: |
|
|
|
|
|
|
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Overall Satisfaction
Overall, how satisfied are you with the services you are receiving from NPPTL?
O |
Very Dissatisfied |
O |
Dissatisfied |
O |
Neither Satisfied nor Dissatisfied |
O |
Satisfied |
O |
Very Satisfied |
If you had a choice of service providers, would you use NPPTL again?
O |
Yes |
O |
No |
O |
Not Sure |
If you had a choice of service providers, would you recommend NPPTL to others?
O |
Yes |
O |
No |
O |
Not Sure |
Based on the service you have received from NPPTL personnel, how would you rate the quality their services?
O |
Very poor |
O |
Poor |
O |
Fair |
O |
Good |
O |
Very good |
O |
No Basis to Judge |
The following section asks about specific NPPTL issues.
|
Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
No Basis to Judge |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
|
O |
O |
O |
O |
O |
O |
Should NPPTL play a role in workplace training programs regarding PPE standards?
O |
No |
O |
Not Sure |
O |
Yes |
Do you have a need for NPPTL to provide you with PPE (respirator and other PPE) test and evaluation services?
O |
No |
O |
Not Sure |
O |
Yes |
If you answered yes to the above question, please check the appropriate tests (check all that apply).
O |
High flow particulate |
O |
Battery indicator |
O |
Low pressure indicator |
O |
Live agent |
O |
Chemical warfare agent stimulant |
O |
Anthropometrics |
O |
Cold temperature |
O |
Vibration conditioning |
O |
Human physiology |
O |
Total inward leakage |
O |
Chemical warfare agent permeation (Swatch) |
O |
Gas service life (cartridge or canister) |
O |
Carbon Dioxide |
O |
Other __________________________ |
Would a tour of the NPPTL facilities be valuable to you?
O |
Yes |
O |
No |
O |
Not Sure |
Does availability of NIOSH approval labeling/compliance impact your purchasing of PPE?
O |
Yes |
O |
No |
O |
Not Sure |
Have you been awarded DHS 2005 grant awards for PPE purchases and intend to purchase NIOSH certified equipment?
O |
Yes |
O |
No |
O |
Not Sure |
Do you regularly follow procedures described in the NFPA Service Care & Maintenance (SCAM) document and/or the manufacturer’s instructions for maintaining your PPE?
O |
Yes |
O |
No |
O |
Not Sure |
Use the following space to describe what NPPTL is doing well.
|
Use the following space to describe what you would like to see NPPTL change.
This completes the survey. Thank you for your cooperation.
File Type | application/msword |
File Title | OPM Customer Satisfaction Survey |
Author | OPM |
Last Modified By | MEWindsor |
File Modified | 2009-05-20 |
File Created | 2005-10-12 |