Pay for Performance - Customer Satisfaction Survey

YOUR INPUT IS APPRECIATED! In order to help us make improvements to the Pay for Performance Toolbox, please fill out the following survey and provide us with your feedback. The estimated time to complete this survey is less than 5 minutes.

1. What is your affiliation? (Please select one)

Federal government	State government
Local government	Contractor/consultant
Industry	Association
UST owner/operator	Other...specify below:

2. What State are you/your site(s) located in? (Please select one)

3. How did you become aware of PFP? (Please select one)

State	OUST information
EPA Region	PFP workshop
Other...specify below:

4. Why are you interested in PFP? (Please select one)

Faster clean-up	Less resource intensive
Oversight responsibilities	Business opportunity
State recommendation/ requirement	Other...specify below:

5. Have you used/implemented PFP before? Yes No

If YES, is/was it considered successful? Yes No
Why?...specify below (optional):

If NO, do you plan to use PFP in the future? Yes No

If NO, why not?

Limited resources	Not enough information
Legislative/State barriers	Other...specify below: (optional)

6. Please rate this site: (very helpful/informative) 5 4 3 2 1 (not useful)

Which section did you find most useful?
0 1 2 3 4 5
Why?...specify below (optional):

Which section did you find least useful?
0 1 2 3 4 5
Why?...specify below (optional):

7. Does this site provide enough information to implement/initiate PFP? Yes No

What other kind of information would be helpful?...specify below (optional):

8. Please provide suggestions for improvements/additions/comments below (optional):

9. Additional contact information (optional):

Name:
Phone number:
Email address:

If you have additional questions or comments, please contact Joe Vescio (703-603-0003).

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