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FHWA LTPP Customer Support Service
Customer Satisfaction Questionnaire

OMB Control No. 2125-0590

In an effort to better serve our customers, we are asking our customers to complete this brief questionnaire. Please take a few minutes to answer each question that applies to the service you received on your request(s) for customer support.

Note: This collection of information is voluntary and will be used to determine eligibility of project for possible Federal funding. Public reporting burden is estimated to average 1 hour per response, including the time for reviewing instructions searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Please note that 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. The OMB control number for this collection is 2125-0590 with an expiration date of 11/30/2011. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Highway Administration, 1200 New Jersey Ave SE, Washington, DC 20590.

The following statements can be rated with a response from 1 to 5 (see descriptions, below). Select the number that corresponds to your response to each statement.

  • 1. Strongly Agree
  • 2. Agree
  • 3. Neutral
  • 4. Disagree
  • 5. Strongly Disagree
  • NA. Not Applicable


Customer Service:
1. 1 2 3 4 5 NA

2. 1 2 3 4 5 NA

3. 1 2 3 4 5 NA

4. 1 2 3 4 5 NA

5. 1 2 3 4 5 NA

6. 1 2 3 4 5 NA




IMS Data Request:
7. Y N Don't Recall NA

8. Y N Don't Recall NA


9. 1 2 3 4 5 NA

10. 1 2 3 4 5 NA



11. 1 2 3 4 5 NA



12. 1 2 3 4 5 NA




Other:
13.

14. Y N NA

15. Y N NA



16.

17.

18. The date of the request (mm/dd/yy):
19. Type of data requested
(choose all applicable):











 
This page last modified on 03/16/09
 

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United States Department of Transportation - Federal Highway Administration