Service Provider Evaluation Checklist Form
Use this form to evaluate a service provider’s performance, quality, and overall fit. Please complete the checklist and add any notes that help summarize your review.
Service Provider Details
Service Provider Name
*
Service Category / Type
*
Please Select
IT Services
Consulting
Maintenance
Logistics
Cleaning
Security
Healthcare
Professional Services
Other
Evaluation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Checklist Evaluation
Overall Rating
*
1
2
3
4
5
Checklist Evaluation
*
Rows
Not Applicable
Poor
Fair
Good
Excellent
Communication
1
2
3
4
5
Professionalism
6
7
8
9
10
Timeliness
11
12
13
14
15
Quality of Work
16
17
18
19
20
Responsiveness
21
22
23
24
25
Value for Money
26
27
28
29
30
Outcome and Notes
Overall recommendation
*
Recommend
Recommend with reservations
Do not recommend
Strengths observed
Areas for improvement
Additional comments
Submit Evaluation
Should be Empty: