Prescriber Services Survey
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1. Default Section
1
. How did you hear about Pharmacy Innovations and its services?
How did you hear about Pharmacy Innovations and its services?
1. Patient
2. Another Provider
3. Local Advertising
4. Website
Other
2
. Are you satisfied with the quality and extensive list of preparations Pharmacy Innovations makes for your patients?
Are you satisfied with the quality and extensive list of preparations Pharmacy Innovations makes for your patients?
1. Yes
2. No
Comments
3
. Would you recommend our services to your colleagues?
Would you recommend our services to your colleagues?
1. Yes
2. No
Comments
4
. How could we better serve you and your patients?
How could we better serve you and your patients?
1. Educate me and my staff on your services
2. Compound more preparations in my specialty
3. I will contact you when I need assistance
Other (please specify)
5
. Did you know that we offer consultation services for some of our customized compounding?
Did you know that we offer consultation services for some of our customized compounding?
1. Yes
2. No
Comments
6
. Do you feel a presentation of our services in your specialty would be of value to you and your staff?
Do you feel a presentation of our services in your specialty would be of value to you and your staff?
1. Yes
2. No
Comments
7
. If your answer to question 6 was yes, what time of day would be the most convenient?
If your answer to question 6 was yes, what time of day would be the most convenient?
1. Day
2. Evening
Other (please specify)
8
. If you would like to schedule an appointment with our pharmacist, please enter your name and phone number in the box below, or call us at 1-888-733-6250.
If you would like to schedule an appointment with our pharmacist, please enter your name and phone number in the box below, or call us at 1-888-733-6250.
9
. Please enter your e-mail address if you would like to receive Pharmacy Innovations' Prescriber E-newsletter.
Please enter your e-mail address if you would like to receive Pharmacy Innovations' Prescriber E-newsletter.
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