Synergen Rx Satisfaction Survey Question Title * 1. The Pharmacy staff was professional, courteous, knowledgeable, and addressed issues promptly. Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree Question Title * 2. Using the scale below, how would you rate the ease to get in touch with one of our representatives? Very Easy Easy Neither easy nor difficult Difficult Very difficult Question Title * 3. How would you rate the condition of the medication upon delivery and the timeliness of your order? Excellent Very good Good Fair Poor Not Applicable Question Title * 4. If applicable, how satisfied were you with the reports, materials or resources provided to you by our representative? Very satisfied Satisfied Neither satisfied nor dissatisfied Dissatisfied Very Dissatisfied Not Applicable Question Title * 5. How would you rate the ability of our staff to provide accurate information in regards to the billing of your prescription and your financial obligation? Excellent Very good Good Fair Poor Not Applicable Question Title * 6. Overall, how satisfied or dissatisfied are you with Synergen Rx? Very satisfied Somewhat satisfied Neither satisfied nor dissatisfied Somewhat dissatisfied Very dissatisfied Question Title * 7. Please provide any comments or feedback below that you wish for our team or individuals to hear. Question Title * 8. I am best described as Manufacturer or GPO Patient Caregiver Provider or office staff Health plan or Payer Staff Pharmaceutical Representative Done