ice.disa.mil
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156.112.106.11
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URL:
https://ice.disa.mil/index.cfm?fa=card&sp=149948
Submission: On November 09 via manual from US — Scanned from DE
Submission: On November 09 via manual from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST index.cfm
<form action="index.cfm" method="post" id="comment_card" onsubmit="return allowSubmit(this.form);" autocomplete="off">
<input type="hidden" name="fa" value="add_card">
<input type="hidden" name="card_id" value="104993">
<input type="hidden" name="csrf_token" value="23B3E4EDD32CF137BE4EE27BFB41FF9705E5F0B3">
<input type="hidden" name="service_provider_id" value="149948">
<input type="hidden" name="timeleness_question_id" value="q_110024" id="timeleness_question_id">
<input type="hidden" name="unit_question_id" value="unit_110024" id="unit_question_id">
<section title="Questions" style="background: white; font-size:.9em; margin-bottom: 0px; margin-left: 0px; padding:0 10px 0 10px; line-height:1; font-family: verdana;">
<table cellspacing="0" cellpadding="0" style=" width:100%; margin: 0px 0 0 0; padding:0px; ">
<tbody>
<tr>
<td>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="25">
<td width="40%" align="baseline"> </td>
<td align="center" valign="middle" width="10%">Yes </td>
<td align="center" valign="middle" width="10%">No </td>
<td align="center" valign="middle" width="10%">N/A</td>
<td align="center" valign="middle" width="30%"> </td>
</tr>
</tbody>
</table>
<fieldset title="Were you satisfied with your overall experience?" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="EAEAEA">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_43" style="font-weight:500; border:none;">Were you satisfied with your overall experience?</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_43-Yes" style=" display: none;">Yes</label> <input type="radio" id="q_43-Yes" name="q_43" title="Yes" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_43-No" style=" display: none;">No</label> <input type="radio" id="q_43-No" name="q_43" title="No" value="0">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_43-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_43-N/A" name="q_43" title="N/A" value="" checked="">
</td>
<td align="center" valign="middle" width="30%"> </td>
</tr>
</tbody>
</table>
</fieldset>
</td>
</tr>
</tbody>
</table>
<br><br>
<table cellspacing="0" cellpadding="0" style=" width:100%; margin: 0px 0 0 0; padding:0px; ">
<tbody>
<tr>
<td>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="25">
<td width="40%" align="baseline"> </td>
<td align="center" valign="middle" width="10%">Strongly Agree</td>
<td align="center" valign="middle" width="10%">Agree</td>
<td align="center" valign="middle" width="10%">Neutral</td>
<td align="center" valign="middle" width="10%">Disagree</td>
<td align="center" valign="middle" width="10%">Strongly Disagree</td>
<td align="center" valign="middle" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="Customer account setup was created accurately and in a timely manner" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="EAEAEA">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218677" style="font-weight:500; border:none;">Customer account setup was created accurately and in a timely manner</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218677-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218677-Strongly Agree" name="q_218677" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218677-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218677-Agree" name="q_218677" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218677-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218677-Neutral" name="q_218677" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218677-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218677-Disagree" name="q_218677" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218677-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218677-Strongly Disagree" name="q_218677" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218677-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218677-N/A" name="q_218677" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Strongly Agree</td>
<td align="center" valign="bottom" width="10%">Agree</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Disagree</td>
<td align="center" valign="bottom" width="10%">Strongly Disagree</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="Customer’s debt inquiry was reviewed, action taken as needed, and a valid response was given in a timely manner" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="dododo">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218678" style="font-weight:500; border:none;">Customer’s debt inquiry was reviewed, action taken as needed, and a valid response was given in a timely manner</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218678-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218678-Strongly Agree" name="q_218678" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218678-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218678-Agree" name="q_218678" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218678-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218678-Neutral" name="q_218678" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218678-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218678-Disagree" name="q_218678" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218678-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218678-Strongly Disagree" name="q_218678" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218678-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218678-N/A" name="q_218678" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Strongly Agree</td>
<td align="center" valign="bottom" width="10%">Agree</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Disagree</td>
<td align="center" valign="bottom" width="10%">Strongly Disagree</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="Customer’s debt receivable was set up correctly in the accounting system and all collections/adjustments were posted accurately" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="EAEAEA">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218679" style="font-weight:500; border:none;">Customer’s debt receivable was set up correctly in the accounting system and all collections/adjustments were posted accurately</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218679-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218679-Strongly Agree" name="q_218679" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218679-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218679-Agree" name="q_218679" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218679-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218679-Neutral" name="q_218679" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218679-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218679-Disagree" name="q_218679" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218679-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218679-Strongly Disagree" name="q_218679" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218679-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218679-N/A" name="q_218679" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Strongly Agree</td>
<td align="center" valign="bottom" width="10%">Agree</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Disagree</td>
<td align="center" valign="bottom" width="10%">Strongly Disagree</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="Customer’s debt receivable was set up correctly in the accounting system and all collections/adjustments were posted in a timely manner" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="dododo">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218680" style="font-weight:500; border:none;">Customer’s debt receivable was set up correctly in the accounting system and all collections/adjustments were posted in a timely manner</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218680-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218680-Strongly Agree" name="q_218680" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218680-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218680-Agree" name="q_218680" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218680-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218680-Neutral" name="q_218680" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218680-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218680-Disagree" name="q_218680" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218680-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218680-Strongly Disagree" name="q_218680" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218680-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218680-N/A" name="q_218680" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Strongly Agree</td>
<td align="center" valign="bottom" width="10%">Agree</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Disagree</td>
<td align="center" valign="bottom" width="10%">Strongly Disagree</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="Refund requests were processed accurately and in a timely manner" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="EAEAEA">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218681" style="font-weight:500; border:none;">Refund requests were processed accurately and in a timely manner</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218681-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218681-Strongly Agree" name="q_218681" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218681-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218681-Agree" name="q_218681" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218681-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218681-Neutral" name="q_218681" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218681-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218681-Disagree" name="q_218681" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218681-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218681-Strongly Disagree" name="q_218681" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218681-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218681-N/A" name="q_218681" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Strongly Agree</td>
<td align="center" valign="bottom" width="10%">Agree</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Disagree</td>
<td align="center" valign="bottom" width="10%">Strongly Disagree</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="I have adequate access to my point of contact for advice and assistance" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="dododo">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218682" style="font-weight:500; border:none;">I have adequate access to my point of contact for advice and assistance</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218682-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218682-Strongly Agree" name="q_218682" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218682-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218682-Agree" name="q_218682" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218682-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218682-Neutral" name="q_218682" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218682-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218682-Disagree" name="q_218682" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218682-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218682-Strongly Disagree" name="q_218682" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218682-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218682-N/A" name="q_218682" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Strongly Agree</td>
<td align="center" valign="bottom" width="10%">Agree</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Disagree</td>
<td align="center" valign="bottom" width="10%">Strongly Disagree</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="The accounting and financial reports provided are designed and adequate to meet customer needs" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="EAEAEA">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218683" style="font-weight:500; border:none;">The accounting and financial reports provided are designed and adequate to meet customer needs</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218683-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218683-Strongly Agree" name="q_218683" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218683-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218683-Agree" name="q_218683" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218683-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218683-Neutral" name="q_218683" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218683-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218683-Disagree" name="q_218683" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218683-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218683-Strongly Disagree" name="q_218683" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218683-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218683-N/A" name="q_218683" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Strongly Agree</td>
<td align="center" valign="bottom" width="10%">Agree</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Disagree</td>
<td align="center" valign="bottom" width="10%">Strongly Disagree</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="The staff has a good understanding of my needs as it applies to Accounts Receivable services" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="dododo">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218684" style="font-weight:500; border:none;">The staff has a good understanding of my needs as it applies to Accounts Receivable services</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218684-Strongly Agree" style=" display: none;">Strongly Agree</label> <input type="radio" id="q_218684-Strongly Agree" name="q_218684" title="Strongly Agree" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218684-Agree" style=" display: none;">Agree</label> <input type="radio" id="q_218684-Agree" name="q_218684" title="Agree" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218684-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218684-Neutral" name="q_218684" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218684-Disagree" style=" display: none;">Disagree</label> <input type="radio" id="q_218684-Disagree" name="q_218684" title="Disagree" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218684-Strongly Disagree" style=" display: none;">Strongly Disagree</label> <input type="radio" id="q_218684-Strongly Disagree" name="q_218684" title="Strongly Disagree" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218684-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218684-N/A" name="q_218684" title="N/A" value="" checked="">
</td>
</tr>
</tbody>
</table>
</fieldset>
<table width="100%" style="border-top:none; border-left:none; border-right: none;">
<tbody>
<tr height="40">
<td width="40%" align="baseline"> </td>
<td align="center" valign="bottom" width="10%">Very Satisfied</td>
<td align="center" valign="bottom" width="10%">Satisfied</td>
<td align="center" valign="bottom" width="10%">Neutral</td>
<td align="center" valign="bottom" width="10%">Dissatisfied</td>
<td align="center" valign="bottom" width="10%">Very Dissatisfied</td>
<td align="center" valign="bottom" width="10%">N/A</td>
</tr>
</tbody>
</table>
<fieldset title="Your overall experience with our service was" style=" border: none;">
<table style="width:100%; cellpadding:5px 0 5px 0px; border:none;" border="0" cellspacing="0">
<tbody>
<tr height="25px" bgcolor="EAEAEA">
<td style="font-size : auto;padding:7px;font-style : bold; line-height: 1.3;font-weight : lighter; width: inherit; height:25; ">
<div id="o_218685" style="font-weight:500; border:none;">Your overall experience with our service was</div>
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218685-Very Satisfied" style=" display: none;">Very Satisfied</label> <input type="radio" id="q_218685-Very Satisfied" name="q_218685" title="Very Satisfied" value="1">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218685-Satisfied" style=" display: none;">Satisfied</label> <input type="radio" id="q_218685-Satisfied" name="q_218685" title="Satisfied" value="2">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218685-Neutral" style=" display: none;">Neutral</label> <input type="radio" id="q_218685-Neutral" name="q_218685" title="Neutral" value="3">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218685-Dissatisfied" style=" display: none;">Dissatisfied</label> <input type="radio" id="q_218685-Dissatisfied" name="q_218685" title="Dissatisfied" value="4">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218685-Very Dissatisfied" style=" display: none;">Very Dissatisfied</label> <input type="radio" id="q_218685-Very Dissatisfied" name="q_218685" title="Very Dissatisfied" value="5">
</td>
<td align="center" valign="middle" style="padding-top: 5px;" width="10%">
<label for="q_218685-N/A" style=" display: none;">N/A</label> <input type="radio" id="q_218685-N/A" name="q_218685" title="N/A" value="" checked="">
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</tr>
</tbody>
</table>
<br><br>
</section>
<input type="hidden" name="question_list" value="q_43,q_218677,q_218678,q_218679,q_218680,q_218681,q_218682,q_218683,q_218684,q_218685">
<input type="hidden" id="text_to_validate" name="text_to_validate" value="comments">
<section style=" background-color:#FFFFFF; padding: 10px; border-bottom:solid silver thin; margin-bottom: 0px; margin-left: 0px; title=" provide="" comments,="" contact="" information,="" submit="" card="" button"="">
<section style=" background-color:#F3F3F3; font-size:1em; margin-left: 0px; line-height:1.2; letter-spacing:1.2; font-family: verdana;">
<div style="margin:0 20px 20px 20px; ">
<span style="font-size:1em; line-height:2; font-family: sans-serif;"><label for="comments"> Comments & Recommendations for Improvement:</label></span>
<textarea class="std_textarea" name="comments" pattern="^[a-zA-Z0-9\-\s\,\(\)\/\&\'\_]*$" style="font-family: sans-serif; width: 99%;" wrap="virtual" id="comments" maxlength="4000" onkeyup="countChar(this.form)"
onchange="clear_msg(this.form)" onblur="validateText(this.form)"
placeholder="CAUTION: Do NOT enter sensitive or personally identifying information in this text field. By providing comment information in the text comment box, you are acknowledging that the information provided may be reviewed throughout the organization to which the comment was submitted and possibly at higher organization levels within the ICE system."></textarea>
<span style="font-size:1em; float:right; margin-right:10px;"><span id="chr_cnt">0</span>/4000</span><br>
</div>
<br>
<div style="margin: 0 0 0 6%;">
<input type="Checkbox" class="lg_checkbox" name="responseRequested" value="1" id="responseRequested" onclick="allowSubmit(this.form)"> <label for="responseRequested">Request a Response</label>
<br><br>
<div style="valign: bottom; padding-left:15px;font-size:small;"> *If you would like a response, please check the Request a Response checkbox above and enter your contact information below. </div>
</div>
<br><br>
<div align="center" style="margin: 0 0 0 5%; padding-right: 1px;">
<table style=" line-height: 2; padding-left: 0; width:90%; " cellspacing="5px">
<tbody>
<tr>
<td>
<label for="customer">Name: </label><span id="name_opt" style="font-size:.8em; "> (optional)</span><br>
<input type="text" name="customer" pattern="^[a-zA-Z0-9\.\ ]*$" title="Letters only" size="30" maxlength="75" id="customer" class="lg_input" style=" height: 26px;"><span id="name_msg" style="font-size:16pt; color:red;"> </span><br>
</td>
<td>
<label for="phone">Phone:</label><span id="phone_opt" style="font-size:.8em; "> (optional)</span><br>
<input type="tel" name="phone" size="30" maxlength="50" id="phone" title="555-5555 or (555)5555555 or 5555555555" class="lg_input" style=" height: 26px;" pattern="^[0-9\-\(\)]{7,16}$" placeholder=""
onfocus="clear_msg(this.form)"><span id="phone_msg" style="font-size:16pt; color:red;"> </span><br>
</td>
</tr>
<tr>
<td>
<label for="email">Email: </label><span id="email_opt" style="font-size:.8em;"> (optional)</span><br>
<input type="email" name="email" size="30" maxlength="100" id="email" title="your.name@test.mil" class="lg_input" style=" height: 26px;" onfocus="clear_msg(this.form)" placeholder=""><span id="email_msg"
style="font-size:16pt; color:red;"> </span><br>
</td>
<td>
<label for="reference">Reference Number:</label><span id="ref_opt" style="font-size:.8em;"> (optional)</span><br>
<input type="text" name="reference" size="30" maxlength="75" id="reference" title="Ticket or Request number" class="lg_input" style=" height: 26px; " pattern="^[0-9a-zA-Z\-\s]*$"><span id="ref_msg" style="font-size:16pt; color:red;">
</span><br>
</td>
</tr>
</tbody>
</table>
</div>
<br><br>
<p style="font-size:.75em; max-height:999px; font-family:sans-serif; padding: 15px;">
<br>
</p>
<div align="center">
<input type="hidden" name="dep" value="DoD">
<span style="margin-left:1%;" id="message_holder" class="warning"> </span><br><br>
<input type="image" src="/images/buttons/submit_300.png" title="Submit Card" height="70" width="300" name="fa_add_card" id="add_card" alt="Submit Comment Card">
<br><br><br><br>
</div>
<div>
<br><br>
<p align="center" style=" line-height: 1.5; font-size: 1.2em; max-height: 999px; width:90%; margin-left:5%;"> "Thank you for taking the time to complete this comment card. Your opinions are very important to us."<br><br>
</p>
<br> <br>
</div>
</section>
</section>
</form>
Text Content
* HOME * About ICE * FAQ * Webmaster * Manager Login (CAC required) Home » Comment Card DFAS - ROME ACCOUNTS RECEIVABLE - PUBLIC This comment card is intended for DoD Service Members and Civilians only DFAS - ROME ACCOUNTS RECEIVABLE - PUBLIC COMMENT CARD This comment card is intended for DoD Service Members and Civilians only The Public Division is responsible for serving due process, collecting, and settling debts owed to the Department of Defense from vendors, military members and civilians. Privacy Advisory: If all fields are completed, this form contains personally identifiable information and is protected in accordance with the Privacy Act of 1974, as amended, DoD 5400.11-R and DoD Privacy Program. Yes No N/A Were you satisfied with your overall experience? Yes No N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Customer account setup was created accurately and in a timely manner Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Customer’s debt inquiry was reviewed, action taken as needed, and a valid response was given in a timely manner Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Customer’s debt receivable was set up correctly in the accounting system and all collections/adjustments were posted accurately Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Customer’s debt receivable was set up correctly in the accounting system and all collections/adjustments were posted in a timely manner Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Refund requests were processed accurately and in a timely manner Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A I have adequate access to my point of contact for advice and assistance Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A The accounting and financial reports provided are designed and adequate to meet customer needs Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Strongly Agree Agree Neutral Disagree Strongly Disagree N/A The staff has a good understanding of my needs as it applies to Accounts Receivable services Strongly Agree Agree Neutral Disagree Strongly Disagree N/A Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied N/A Your overall experience with our service was Very Satisfied Satisfied Neutral Dissatisfied Very Dissatisfied N/A Comments & Recommendations for Improvement: 0/4000 Request a Response *If you would like a response, please check the Request a Response checkbox above and enter your contact information below. Name: (optional) Phone: (optional) Email: (optional) Reference Number: (optional) "Thank you for taking the time to complete this comment card. Your opinions are very important to us." * Intended Usage Advisory * Accessibility Statement * External Link Disclaimer * Privacy and Security Notice * No FEAR Act * Freedom of Information Act * Section 508 * USA.gov * Department of Defense * The White House * GSA