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National Acquisition Center

Assistance & Inquiry Survey

Thank you for interest in the Department of Veterans Affairs (VA) acquisition programs.

This survey questionnaire is in reference to your recent inquiry with an offical of the VA National Acquisition Center (NAC)

The reason for this survey is to better service our partners and customers. We are asking you to take a few minutes to complete this survey regarding the service you received.

Date of Service: (mm/dd/yyyy)

Customer Existing Vendor Potential Vendor

Your First Name: Your Last Name:

Your contact email address:

Your contact phone number:

How did you contact the NAC? Phone Email US Mail In person

What Service Assisted you?

	FSS Medical Equipment & Supplies		FSS Pharmaceutical, Dental and Other Medical Products
	FSS Professional Services		National Contracts Direct Delivery
	National Contracts Medical Surgical		National Contracts Pharmaceutical
	Office of Executive Director		Denver Acquisition & Logistics Center
	Other

Select the name of the person who assisted you

The staff member that assisted me was courteous

Strongly Agree Agree Neutral Disagree Strongly Disagree

My question or issue was handled timely

Strongly Agree Agree Neutral Disagree Strongly Disagree

The customer service I received from the NAC exceeded my expectations

Strongly Agree Agree Neutral Disagree Strongly Disagree

The NAC website www.va.gov/oamm/oa/nac is informative

Strongly Agree Agree Neutral Disagree Strongly Disagree

How can we improve our service to you or, do you have any additional comments? (Limited to 500 characters)

OMB Number: 2900-0676

Reviewed/Updated Date: January 10, 2007