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* 1. Please provide your name or if you wish to remain anonymous, that's ok too.

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* 2. I used DelivMeds as a:

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* 3. When did you use the DelivMeds app:

Date

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* 4. If using the DelivMeds App as a patient, please select which type of device you used:

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* 5. On a scale of 1-5, how was the registration process?

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* 6. On a scale of 1-5, how was the prescription unlock/retrieval process?

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* 7. On a scale of 1-5, how was the feature of paying your co-pay through the app?

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* 8. Did you request "Pickup" or "Delivery Service"?

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* 9. Did you like the overall process of using the DelivMeds App?

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* 10. Would you use the DelivMeds mobile app again?

T