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The InstyMeds Experience
Please take a moment to fill out this brief survey about your most recent experience using the InstyMeds Prescription Medication Dispenser.
We value your input!
25%
1.
What health care facility did you use the InstyMeds dispenser at?
2.
Please provide the following information about yourself
Gender
Your gender:
Male
Female
3.
Please provide the following information about yourself
Age
Your age:
00-19
20-29
30-39
40-49
50-59
60-69
70+
4.
Please provide the following information about yourself
Number
Number of children:
0
1
2
3
4
5+
5.
Please provide the following information about yourself
Number
Number of children with you at the time of using InstyMeds:
0
1
2
3
4
5+
6.
Did you use InstyMeds to get a medication for yourself or a family member?
Myself
Family Member
Both
*
7.
On a scale of 0 to 10,
How likely is it that you would recommend InstyMeds to a friend or colleague?
0 for Not at all likely, 10 for Extremely likely
(Required.)
Not at all likely
Extremely likely
0
1
2
3
4
5
6
7
8
9
10
8.
Would you utilize mail order services for your medications if they were available?
Yes
No