Thank you for participating in this survey! Your feedback will help us better serve customers like you. Please enter your email to receive a special "Thank You" offer for your time and effort. 

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* 1. Please enter your email address (optional): 

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* 2. What zip code do you live in?

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* 3. Which of our stores do you shop at?

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* 4. What is your gender?

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* 5. What is your age?

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* 6. Where do you currently fill your prescriptions? (check all that apply)

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* 7. How do you currently connect with us? (check all that apply)

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* 8. Are there any social media platforms you would like to see us on?

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* 9. What kinds of print media influence where you shop?

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* 10. What radio station do you listen to most?

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* 11. How long have you been a customer with us?

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* 12. Where do you buy your wellness products (vitamins, supplements, herbs, essential oils, etc.)? (check all that apply)

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* 13. Where do you buy your beauty products (skin and hair care, cosmetics, etc.)? (check all that apply)

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* 14. What is your favorite thing about shopping with us? (check all that apply)

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* 15. What kinds of products do you regularly purchase from us? (check all that apply)

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* 16. Is there anything we could do differently to encourage your to shop here more often? (check all that apply)

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* 17. How likely is it that you would recommend Community Pharmacy to a friend or colleague?

Not at all likely
Extremely likely

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* 18. How would best describe Community Pharmacy/Wellness Shop?

T