SERVICE PROVIDERS

Direction:
This questionnaire assesses the performance of the concerned service provider to their
conformity to all requirements as stated and agreed upon the Contract. We have Stored essential
questions into four (4) different criteria’s that will be filled up by the End-User/Requisitioning Office.
Please Summarize your evaluation of the service provider’s performance as objectively as possible by
placing a check on the provided rating areas.

Legend:

1 - Less than minimum requirements 3 – Exceed minimum requiments

2 – Met minimum requirements 4–Considerably surpassed minimum requirements

SERVICE

PROVIDER’S NAME

BUSINESS

PERIOD

A. QUALITY OF WORK/SEVICE (50%)

1. Compliance to Contract Requirements

2. Qualification of Technical Personnel
1 2 3 4

B. TIMELINESS OF PERFORMANCE (30%)

1. Compatibility to perform the ask on the time and

meet the original Completion Date
2. Promptness in the submission of the require
reports and other related documents
(i’e.. Invoice/Service Report
1 2 3 4

C. BUSINESS RELATION (10%)

1. Addressing and able to solve performance

problem without extensive guidance from
government counterparts
 2. Effective in interacting with government’s staff
1 2 3 4

D. STABILITY AND RESOURCES (10%)

1. Years of Experience, Liquidity of the

Contractor, Organizational Set-up
2. No. of Skilled Technician, No. and kind of
Testing Devices, No Kind of Motor Powered
Vehicles
1 2 3 4

Summary

To BE FILLED-UP/ COMPUTED BY THE INSPECTOR

Formula:
(Summation of Grades/Number of Answered Question) x Criteria Weight

Criteria A (weighted mean average)

x
x 0.50 =

Criteria B (weighted mean average)

x
x 0.30 =
Criteria C (weighted mean average)

x
x 0.10 =

Criteria D (weighted mean average)

x
x 0.10 =
Total (Final Rating)

Rated by:

______________________________ ________________________________

End-User/ Requisitioning office Evaluator