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* 1. Name

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* 2. Telephone Number

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* 3. Email

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* 4. State

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* 5. City

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* 6. What is your age range?

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* 7. Please state your gender.

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* 8. How long have you been a PharmStore.com customer?

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* 9. If you recall, how did you first hear about PharmStore.com?

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* 10. Prior to becoming a PharmStore.com customer, where did you buy your medications from? Please state name of the company beside your choice.

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* 11. If you recall, why did you decide to switch to PharmStore.com?

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* 12. As a current PharmStore.com customers, do you also buy from any other Canadian online pharmacies, and if so, which one(s)?

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* 13. If you are a PharmStore.com customer who also shops at other Canadian online pharmacies, why do you also shop at these other Canadian online pharmacies?

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* 14. Are there any medications you need that PharmStore.com doesn't carry?

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* 15. What do you like best about PharmStore.com?

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* 16. What do you dislike about the PharmStore.com service? What can we improve?

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* 17. When purchasing your medications, on a scale from "not important" to "very important", which of these aspects are important to you?

  Not important Somewhat not important Neutral Somewhat important Very important
Price
Delivery time
Drug origination (does it matter whether the products come from Tier 1 countries like Canada, UK, New Zealand, Australia, or from other countries such as Turkey, India, Israel?)
An agent to help me over the phone when ordering
Chat support when ordering online
Access to a pharmacist when I order over the phone
The Canadian online pharmacy you order from is a member of the Canadian International Pharmacy Association
The Canadian online pharmacy you order from offers the Norton Shopping Guarantee
The Canadian online pharmacy you order from offers an interest-free payment plan

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* 18. When buying your medications online, which do you prefer?

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* 19. What form of "television" do you watch?

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* 20. List the top three TV shows that you watch other than news programs.

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* 21. If you watch TV news programming, please list which ones and which stations they're on.

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* 22. Do you subscribe to or watch any podcasts regularly and if so which ones?

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* 23. Which social media sites do you subscribe to or visit regularly?

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* 24. What time of day do you usually visit these social media sites?

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* 25. Which magazines do you subscribe to or read regularly?

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* 26. Do you subscribe to or read any newspapers regularly and if so, which ones?

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* 27. Do you listen to any radio, if so, please list the station(s) and the shows you tune in to.

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* 28. Do you belong to any associations or other advocacy groups, if so, which ones?

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* 29. If you belong to any associations, how often do you read their emails or newsletters?

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